Douglas & Victoria M Weiss

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000665 Issued in VA

Legal business name

DOUGLAS & VICTORIA M WEISS

Practice address

5B Centre CT
Palmyra, VA 22963-2329

Phone

(434) 591-0262

Fax

(434) 591-0111

NPI assigned

Dec 12, 2006

Last updated

Oct 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Victoria Molnar Weiss, ODNPI 1568523033

Title

50 Partner Owner

Phone

(434) 591-0262

Specialties & licenses 5

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victoria Molnar Weiss, OD

  • Optometrist
  • Palmyra, VA
  • NPI 1568523033
  Medicare reassignment NPD Authorized official
• Douglas Floyd Weiss, OD

  • Optometrist
  • Palmyra, VA
  • NPI 1902967466
  Medicare reassignment NPD
• Carl Brandon Myers, OD

  • Optometrist
  • Palmyra, VA
  • NPI 1457977050
  NPD

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414195200000",
    "number": "1205997764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5B CENTRE CT",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229632329",
            "telephone_number": "434-591-0262",
            "fax_number": "434-591-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5B CENTRE CT",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229632329",
            "telephone_number": "434-591-0262",
            "fax_number": "434-591-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS & VICTORIA M WEISS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-10-25",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "MOLNAR",
        "authorized_official_title_or_position": "50 PARTNER OWNER",
        "authorized_official_telephone_number": "434-591-0262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000628",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000665",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "VA",
            "license": "0618000628",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "VA",
            "license": "0618000665",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "VA",
            "license": "0618000628",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "146815",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "151998",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "219852",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9234292",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9234306",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "224432",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Palmyra, VA
• Providers in Palmyra, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.