Individual provider Active NPI

David A Weitz, OD

  • Optometrist
  • Cary, NC
National Provider Identifier
1306861588
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1608 Issued in NC
Practice address
720 SE Maynard Rd
Cary, NC 27511-5720
Phone
(919) 467-0959
Fax
(919) 467-5939
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1608 NC Primary

Addresses

Primary practice location

720 SE Maynard Rd
Cary, NC 27511-5720

Mailing address

720 SE Maynard Rd
Cary, NC 27511-5720
Phone (919) 467-0959

Other identifiers 2

IdentifierTypeStateIssuer
0994WOtherNCBCBSNC PROVIDER ID
890994WMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070924000697 NC Practitioner - Optometry 9739271057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecarecenter OD PAGroup PAC ID 7315834462, 71 clinicians

Practice addresses (Care Compare)

119 E Hargett St
Raleigh, NC 27601-1579
Phone (919) 856-8555

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1608NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Jul 5, 1997 Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Jul 5, 1997 Accepting new patients
C.V. Sikes,Jr. & R.B. Gotschalk PTR Optometrist Past Accepting new patients
Eyecarecenter OD PA Optometrist PastSince May 1, 2007 Accepting new patients

Locations

720 SE Maynard Rd
Cary, NC 27511
Phone (919) 467-0959

119 E Hargett St
Raleigh, NC 27601
Phone (919) 856-8555

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

Interoperability endpoints

  • Direct secure messaging: dweitz@direct.eyecare-partners.com

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1306861588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SE MAYNARD RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115720",
            "telephone_number": "919-467-0959",
            "fax_number": "919-467-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SE MAYNARD RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115720",
            "telephone_number": "919-467-0959",
            "fax_number": "919-467-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZ",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC PROVIDER ID",
            "identifier": "0994W",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890994W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.