Individual provider Active NPI

Carol A. Weil, O.D., RPT

  • Optometrist
  • Allston, MA
National Provider Identifier
1376706820
Registry record updated Jul 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3553 Issued in MA
Practice address
214 Lincoln St
Suite 205
Allston, MA 02134-1347
Phone
(617) 782-0100
Fax
(617) 782-1702
NPI assigned
Jul 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3553 MA Primary

Addresses

Primary practice location

214 Lincoln St
Suite 205
Allston, MA 02134-1347

Mailing address

214 Lincoln St
Suite 205
Allston, MA 02134-1347
Phone (617) 782-0100

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

NPI Registry JSON

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

{
    "created_epoch": "1215129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215129600000",
    "number": "1376706820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 LINCOLN ST",
            "address_2": "SUITE 205",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021341347",
            "telephone_number": "617-782-0100",
            "fax_number": "617-782-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 LINCOLN ST",
            "address_2": "SUITE 205",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021341347",
            "telephone_number": "617-782-0100",
            "fax_number": "617-782-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIL",
        "first_name": "CAROL",
        "middle_name": "A.",
        "credential": "O.D.,  RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-04",
        "last_updated": "2008-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2008; 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.