Edward L Weiner, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

915 Issued in SC

Practice address

1406 Main Street
Conway, SC 29526

Phone

(843) 488-2020

Fax

(843) 488-0141

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vaught Eye Associates, PAGroup PAC ID 7416939715, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

76.34 of 100Reported as group

Quality

59.52

Improvement activities

40

Cost

75.09

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.

• Vaught Eye Associates, PA

  • Optometrist
  • Conway, SC
  • NPI 1720187172
  Medicare reassignment Care Compare group NPD
• Vaught Eye Associates,PA

  • Ophthalmology Physician
  • Conway, SC
  • NPI 1942660931
  NPD
• Eye Associates of Little River, LLC

  • Optometrist
  • Little River, SC
  • NPI 1568404044
  NPD (past)
• Myeyedr Optometry of North Carolina PLLC

  • Optometrist
  • Washington, NC
  • NPI 1043268295
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1205949161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 MAIN STREET",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "29526",
            "telephone_number": "843-488-2020",
            "fax_number": "843-488-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 MAIN STREET",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "29526",
            "telephone_number": "843-488-2020",
            "fax_number": "843-488-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "EDWARD",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D09152",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• M Jennifer Wattenbarger, M.ED., LPC
• We Care Home Care Group LLC
• We Provide Medical Transport,LLC
• Sarah Weaver, FNP
• Jeremy Saul Weinberger, MD
• Melissa Welch
• Hilary Margaret Welter, PA
• Calder West, MD
• Marcey Westerbeck, LPN
• Ebony Wheeler

• Optometrist in Conway, SC
• Providers in Conway, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.