Organization Active NPI

Brian E Weber OD LLC

Doing business as Springfield Eye Associates

  • Optometrist
  • Springfield, OH
National Provider Identifier
1235326497
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4151 Issued in OH
Legal business name
BRIAN E WEBER OD LLC
Doing business as
Springfield Eye Associates
Practice address
21 E Ward St
Springfield, OH 45504-2203
Phone
(937) 325-5045
Fax
(937) 717-6905
NPI assigned
Oct 1, 2007
Last updated
Nov 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Dr. Brian E. Weber, ODNPI 1568563484
Title
Owner
Phone
(937) 325-5045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4151 OH Primary

Addresses

Primary practice location

21 E Ward St
Springfield, OH 45504-2203

Mailing address

PO Box 1326
Springfield, OH 45501-1326
Phone (937) 325-5045

Other names 1

  • Springfield Eye Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050112000371 OH Part B Supplier - Clinic/Group Practice 6103874565 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, OH
O20100930042837 OH DME Supplier - Physician - Optometrist 6103874565 Practice locations: Springfield, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Brian E Weber OD LLC21 E Ward St, Springfield, OH 45504-2203(937) 325-5045 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 2005

National Provider Directory

National Provider Directory

Locations

21 E Ward St
Springfield, OH 45504
Phone (513) 325-5045

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1235326497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1326",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455011326",
            "telephone_number": "937-325-5045",
            "fax_number": "937-717-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E WARD ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042203",
            "telephone_number": "937-325-5045",
            "fax_number": "937-717-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN E WEBER OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-325-5045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.