Individual provider Active NPI

Alan Martin Weissman, OD

  • Optometrist
  • Carrollton, TX
National Provider Identifier
1386622330
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3237 T G Issued in TX
Practice address
2810 E Trinity Mills Rd
Suite 173
Carrollton, TX 75006-2545
Phone
(972) 416-1270
Fax
(972) 416-4839
NPI assigned
Jan 9, 2006
Last updated
Jul 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3237 T G TX Primary

Addresses

Primary practice location

2810 E Trinity Mills Rd
Suite 173
Carrollton, TX 75006-2545

Mailing address

2810 E Trinity Mills Rd
Suite 173
Carrollton, TX 75006-2545
Phone (972) 416-1270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20080730000361 TX Practitioner - Optometry 6406929462 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3237 T GTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Jan 13, 2020 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Jan 13, 2020 Accepting new patients

Locations

2810 E Trinity Mills Rd
Ste 173
Carrollton, TX 75006
Phone (972) 416-1270

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1386622330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 E TRINITY MILLS RD",
            "address_2": "SUITE 173",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062545",
            "telephone_number": "972-416-1270",
            "fax_number": "972-416-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 E TRINITY MILLS RD",
            "address_2": "SUITE 173",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062545",
            "telephone_number": "972-416-1270",
            "fax_number": "972-416-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSMAN",
        "first_name": "ALAN",
        "middle_name": "MARTIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3237 T G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.