Howard D Weinberg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004022-1 Issued in NY

Practice address

1850 Route 112
Suite L
Coram, NY 11727-2232

Phone

(631) 736-6161

Fax

(631) 736-1912

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eyecare Unlimited, Inc.

  • Eyewear Supplier
  • Coram, NY
  • NPI 1770755803
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1366528481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 ROUTE 112",
            "address_2": "SUITE L",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117272232",
            "telephone_number": "631-736-6161",
            "fax_number": "631-736-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 ROUTE 112",
            "address_2": "SUITE L",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117272232",
            "telephone_number": "631-736-6161",
            "fax_number": "631-736-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "HOWARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004022-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00656377",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0027794",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marwah Waheed
• Michelle Walczyk, LPN
• Gerard Vincent Walsh
• Kelly Walthour
• Hallie Wastiewiz
• Julie Anna Weinheimer, L.C.S.W.
• Stephen K Weiss, DMD
• Welllife Network Inc.
• Sequoyah Wharton, ED.D.
• Warren Whyte

• Optometrist in Coram, NY
• Providers in Coram, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.