Camille Weissenberg, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

33987TLG Issued in CA

Practice address

1422 Blue Oaks Blvd Ste 150
Roseville, CA 95747-5196

Phone

(916) 783-3937

NPI assigned

Jul 16, 2018

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

University of California - School of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Oaks Eyecare IncGroup PAC ID 6002090677, 2 clinicians

Camille Weissenberg Optometry Professional CorporationGroup PAC ID 5698281343, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dr.weissenberg@solanoeyecare.eyefinity-direct.com

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.

• Camille Weissenberg Optometry Professional Corporation

  • Optometrist
  • Fair Oaks, CA
  • NPI 1881581635
  Medicare reassignment Care Compare group NPD Authorized official
• Blue Oaks Eyecare Inc

  • Optometrist
  • Roseville, CA
  • NPI 1679862544
  Medicare reassignment Care Compare group NPD
• Fifth Optometric Care of California

  • Optometrist
  • San Jose, CA
  • NPI 1215627914
  Medicare reassignment NPD
• Solano Eye Care an Optometric Corporation

  • Optometrist
  • Fairfield, CA
  • NPI 1528276854
  Medicare reassignment NPD
• David J Lau & Wesley S Umeda PTR

  • Eyewear Supplier
  • Fair Oaks, CA
  • NPI 1578619615
  NPD
• Fifth Optometric Care of California

  • Optometrist
  • Elk Grove, CA
  • NPI 1003598889
  NPD
• Fifth Optometric Care of California

  • Optometrist
  • Taft, CA
  • NPI 1699504746
  NPD
• Heidi Q T Pham-Murphy OD

  • Optometrist
  • Sacramento, CA
  • NPI 1811126352
  NPD (past)
• Thomas H Murphy OD Inc

  • Optometrist
  • Roseville, CA
  • NPI 1457389207
  NPD (past)
• Through the Hayes Optometry Inc

  • Optometrist
  • Sacramento, CA
  • NPI 1255222865
  NPD (past)

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1407332182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 BLUE OAKS BLVD STE 150",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475196",
            "telephone_number": "916-783-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 BLUE OAKS BLVD STE 150",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475196",
            "telephone_number": "916-783-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3133 W March Ln Ste 2020",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952192361",
            "country_code": "US",
            "telephone_number": "209-951-0820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1329 Oliver Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945343470",
            "country_code": "US",
            "telephone_number": "707-429-0301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISSENBERG",
        "first_name": "CAMILLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33987TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.weissenberg@solanoeyecare.eyefinity-direct.com",
            "affiliation": "N",
            "address_1": "1329 Oliver Rd",
            "city": "Fairfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945343470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Optometrist in Roseville, CA
• Providers in Roseville, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.