Individual provider Active NPI

Jay A Weil, OD

  • Optometrist
  • Tampa, FL
National Provider Identifier
1437142205
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC001789 Issued in FL
Practice address
2223 N West Shore Blvd
Suite 169B
Tampa, FL 33607-1411
Phone
(813) 348-9696
Fax
(813) 398-0660
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC001789 FL Primary

Addresses

Primary practice location

2223 N West Shore Blvd
Suite 169B
Tampa, FL 33607-1411

Mailing address

2223 N West Shore Blvd
Suite 169B
Tampa, FL 33607-1411
Phone (813) 348-9696

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

State licenses

LicenseStateTypeSpecialty
OPC001789FLMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1437142205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 N WEST SHORE BLVD",
            "address_2": "SUITE 169B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071411",
            "telephone_number": "813-348-9696",
            "fax_number": "813-348-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 N WEST SHORE BLVD",
            "address_2": "SUITE 169B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071411",
            "telephone_number": "813-348-9696",
            "fax_number": "813-398-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIL",
        "first_name": "JAY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC001789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.