Organization Active NPI

Bennett a Weiner, OD

  • Optometrist
  • La Habra, CA
National Provider Identifier
1316120876
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9119T Issued in CA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GSD001180MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.