Individual provider Active NPI

Benjamin P Weiss, O.D.

  • Optometrist
  • Vero Beach, FL
National Provider Identifier
1265504658
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
FL3620 Issued in FL
Practice address
530 21St St
Vero Beach, FL 32960-5450
Phone
(772) 562-2020
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X FL3620 FL Primary

Addresses

Primary practice location

530 21St St
Vero Beach, FL 32960-5450

Mailing address

2046 Treasure Coast PLZ Ste a
Vero Beach, FL 32960-0931
Phone (772) 205-0120

Other identifiers 1

IdentifierTypeStateIssuer
621272700MedicaidFL

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

LicenseStateTypeSpecialty
FL3620FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
BW Eye Care PA Optometrist Current Accepting new patients

Locations

2046 Treasure Coast Plz
Ste A
Vero Beach, FL 32960

530 21st St
Vero Beach, FL 32960
Phone (772) 562-2020

Organizations & group practices 1

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1265504658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 TREASURE COAST PLZ STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329600931",
            "telephone_number": "772-205-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 21ST ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605450",
            "telephone_number": "772-562-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "BENJAMIN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "FL3620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621272700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.