Individual provider Active NPI

Justin Everett Weigel, OD

  • Optometrist
  • Olathe, KS
National Provider Identifier
1225220346
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1794 Issued in KS
Practice address
11148 S Lone Elm Rd
Olathe, KS 66061-9434
Phone
(913) 390-6700
Fax
(913) 390-6705
NPI assigned
Aug 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1794 KS Primary
Corneal and Contact Management Optometrist 152WC0802X 1794 KS
Pediatric Optometrist 152WP0200X 1794 KS

Addresses

Primary practice location

11148 S Lone Elm Rd
Olathe, KS 66061-9434

Mailing address

11148 S Lone Elm Rd
Olathe, KS 66061-9434
Phone (913) 390-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071001000722 KS Practitioner - Optometry 4486749736 Reassigns benefits to 1 organization
I20241210004357 MO Practitioner - Optometry 4486749736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acuity Vision Center LLCGroup PAC ID 3971930728, 16 clinicians

Practice addresses (Care Compare)

11114 S Lone Elm Rd
Insight Vision Ctr
Olathe, KS 66061-9434
Phone (913) 390-6700

15601 W 87TH St Pkwy
Lenexa, KS 66219-1435
Phone (913) 894-2020

5820 Lamar Ave
Mission, KS 66202-2612
Phone (913) 432-7676

967 E Lincoln LN
Insight Vision Ctr
Gardner, KS 66030-3701
Phone (913) 884-6800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1794KSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Paige Hedgpath OD,PC Optometrist CurrentSince Sep 26, 2024 Accepting new patients
Acuity Vision Center LLC Optometrist CurrentSince Mar 25, 2020 Accepting new patients
Insight Vision Center Optometrist Current Accepting new patients
Paige Hedgpath Odpc Optometrist CurrentSince Sep 26, 2024 Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

967 E Lincoln Ln
Gardner, KS 66030
Phone (913) 884-6800

11114 S Lone Elm Rd
Olathe, KS 66061
Phone (913) 390-6700

1400 Forum Blvd
Ste 14
Columbia, MO 65203
Phone (573) 446-0331

323 Monroe St
Jefferson Cty, MO 65101
Phone (573) 635-1313

6708 Raytown Rd
Raytown, MO 64133
Phone (816) 353-1872

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1225220346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11148 S LONE ELM RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660619434",
            "telephone_number": "913-390-6700",
            "fax_number": "913-390-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11148 S LONE ELM RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660619434",
            "telephone_number": "913-390-6700",
            "fax_number": "913-390-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGEL",
        "first_name": "JUSTIN",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-13",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1794",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "KS",
            "license": "1794",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "KS",
            "license": "1794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.