Eric John Wiessner, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.0003608 Issued in CO

Practice address

5075 Leetsdale Dr
Denver, CO 80246-8176

Phone

(303) 333-2800

NPI assigned

Jun 21, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family First Vision Care Colorado LLC

  • Optometrist
  • Aurora, CO
  • NPI 1952827750
  Medicare reassignment NPD
• Look Optical, PC

  • Optometrist
  • Denver, CO
  • NPI 1801820469
  Medicare reassignment
• Paradocs, Inc. PS

  • Optometrist
  • Walla Walla, WA
  • NPI 1891999173
  NPD (past)
• Vision Source Walla Walla PLLC

  • Optometrist
  • Walla Walla, WA
  • NPI 1245077080
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1194245043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E ALDER ST STE 1",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622073",
            "telephone_number": "509-527-3937",
            "fax_number": "509-529-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5075 LEETSDALE DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802468176",
            "telephone_number": "303-333-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "614 E Alder St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993622073",
            "country_code": "US",
            "telephone_number": "509-527-3937",
            "fax_number": "509-529-4750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIESSNER",
        "first_name": "ERIC",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60767319",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Wier-March
• Cody Wiersema
• Wiese Counseling
• Brianne Wiese, LCSW
• Theodore Wiesner, MD
• Amy Wigand, R.N.
• Eliza Wiggin
• Eugene O Wiggs, M.D.
• Clare Wightman, MS, PA-C
• Wiicare Colorado LLC

• Optometrist in Denver, CO
• Providers in Denver, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.