Kristi K Weatherly, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002892 Issued in PA

Practice address

744 Shenango Rd Ste 1
Beaver Falls, PA 15010-7111

Phone

(724) 846-2020

Fax

(724) 846-7287

NPI assigned

Jul 3, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, PA2 enrollments

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 2

Specialty

Optometry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kristi K Weatherly OD LLC

  • Optometrist
  • Beaver Falls, PA
  • NPI 1700403169
  Medicare reassignment NPD Authorized official
• Alexander Chang MD PC

  • Ophthalmology Physician
  • Pittsburgh, PA
  • NPI 1386861995

  Optometrist

  Medicare reassignment NPD
• Alexander Chang MD PC

  • Eyewear Supplier
  • Pittsburgh, PA
  • NPI 1275719536
  NPD

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1376983445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 SHENANGO RD STE 1",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150107111",
            "telephone_number": "724-846-2020",
            "fax_number": "724-846-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 SHENANGO RD STE 1",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150107111",
            "telephone_number": "724-846-2020",
            "fax_number": "724-846-7287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Greentree Rd",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152201400",
            "country_code": "US",
            "telephone_number": "412-429-2020",
            "fax_number": "412-429-0932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEATHERLY",
        "first_name": "KRISTI",
        "middle_name": "K",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Walker, LAT, ATC
• Dustin Mark Wallace, M.D.
• Samantha J Walsh, PA-C
• Christopher J Watterson, MD
• Tina Louise Watts
• Rebecca Ann Welch, M.D.
• Tonette Marion Whitted
• John Christopher Wichmann, DMD
• Kevin Williams
• Jennifer Duff Willson, MS CCC/SLP

• Optometrist in Beaver Falls, PA
• Providers in Beaver Falls, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.