Active NPI
Bennett a Weiner, OD
- Optometrist
- La Habra, CA
National Provider Identifier
1316120876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9119T
- Legal business name
- BENNETT A WEINER, OD
- Practice address
- 1447 W Whittier Blvd
La Habra, CA 90631-3614 - Phone
- (562) 697-3995
- Fax
- (562) 697-3446
- NPI assigned
- Dec 6, 2007
- Last updated
- Apr 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bennetrt Weiner, O.D.
- Title
- Owner
- Phone
- (562) 697-3995
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9119T | CA | Primary |
Addresses
Primary practice location
1447 W Whittier Blvd
La Habra, CA 90631-3614
Mailing address
1447 W Whittier Blvd
La Habra, CA 90631-3614
Phone (562) 697-3995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GSD001180 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1339 W Whittier Blvd
La Habra, CA 90631
Phone (310) 697-3995
1447 W Whittier Blvd
La Habra, CA 90631
Phone (562) 697-3995
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Optometrist
- La Habra, CA
- NPI 1255413324
-
- Optometrist
- La Habra, CA
- NPI 1780794123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588204800000",
"number": "1316120876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1447 W WHITTIER BLVD",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906313614",
"telephone_number": "562-697-3995",
"fax_number": "562-697-3446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1447 W WHITTIER BLVD",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906313614",
"telephone_number": "562-697-3995",
"fax_number": "562-697-3446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENNETT A WEINER, OD",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-06",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A",
"authorized_official_last_name": "WEINER",
"authorized_official_first_name": "BENNETRT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "562-697-3995",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9119T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GSD001180",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.