Roger Allen Weikum, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

002243TG Issued in TX

Practice address

2100 Ross Ave Ste 260-LB-4
Dallas, TX 75201-2717

Phone

(214) 220-2425

Fax

(214) 220-2488

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brodsky and Weikum, IncGroup PAC ID 8527241975, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Brodsky & Weikum, Inc

  • Optometrist
  • Dallas, TX
  • NPI 1598889289
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1407944259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 ROSS AVE STE 260-LB4",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012739",
            "telephone_number": "214-220-2425",
            "fax_number": "214-220-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 ROSS AVE STE 260-LB-4",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012717",
            "telephone_number": "214-220-2425",
            "fax_number": "214-220-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIKUM",
        "first_name": "ROGER",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "002243TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "002243TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystalia S. Weidner, PHD, HSPP
• Alan Victor Weier, MD
• Sofia Weigel, MD
• Weight Loss Management LLP
• Patricia Ann Weigle, CRNP
• Vanessa Weilage, LCSW
• Heidi Weiler
• Arthur George Weinberg, MD
• Olga Kagan Weinberg, M.D.
• Debra Gail Weinberger, MD

• Optometrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.