Richard C Weinstein, O.D. LTD
Individual provider Active NPI Optometrist · East Dundee, IL
NPI 1447225529 · NPPES record last updated Jun 7, 2011
Key facts
- NPI
- 1447225529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 046-6648 (IL)
- Practice address
- 210 Penny Ave
Suite E
East Dundee, IL 60118-1458 - Phone
- (847) 426-3221
- Fax
- (847) 426-3461
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-6648 | IL | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046-6648 | IL | Yes |
Addresses
Primary practice location
210 Penny Ave
Suite E
East Dundee, IL 60118-1458
Mailing address
210 Penny Ave
Suite E
East Dundee, IL 60118-1458
Phone (847) 426-3221
Other providers in East Dundee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.