Active NPI
Lori A. Weiss, O.D.
- Optometrist
- Dickson, TN
National Provider Identifier
1265436083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD1063
- Practice address
- 110 Mathis Dr
Dickson, TN 37055-2000 - Phone
- (615) 446-8089
- Fax
- (615) 441-3135
- NPI assigned
- Jun 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD1063 | TN | Primary |
Addresses
Primary practice location
110 Mathis Dr
Dickson, TN 37055-2000
Mailing address
110 Mathis Dr
Dickson, TN 37055-2000
Phone (615) 446-8089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0393090004 | Other | TN | DMERC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1063 | TN | MD | Behavioral Analyst |
| OD1063 | TN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209340800000",
"number": "1265436083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 MATHIS DR",
"city": "DICKSON",
"state": "TN",
"postal_code": "370552000",
"telephone_number": "615-446-8089",
"fax_number": "615-441-3135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 MATHIS DR",
"city": "DICKSON",
"state": "TN",
"postal_code": "370552000",
"telephone_number": "615-446-8089",
"fax_number": "615-441-3135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "LORI",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-09",
"last_updated": "2008-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "OD1063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0393090004",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dickson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.