Individual provider Active NPI

Ruth Ann Weber, O.D.

  • Optometrist
  • Ripon, WI
National Provider Identifier
1447369798
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TPA2317 Issued in WI
Practice address
1081B W Fond Du Lac St
Ripon, WI 54971-9260
Phone
(920) 748-1497
Fax
(920) 748-1492
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TPA2317 WI Primary

Addresses

Primary practice location

1081B W Fond Du Lac St
Ripon, WI 54971-9260

Mailing address

1081B W Fond Du Lac St
Ripon, WI 54971-9260
Phone (920) 748-1497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20101007001004 WI Practitioner - Optometry 7517159627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1081 B W Fond Du Lac St
Ripon, WI 54971-9260
Phone (920) 748-1497

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPA2317WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Weber Eye Care, LLC Optometrist CurrentSince Oct 6, 2024 Accepting new patients
Weber Eye Care, LLC Optometrist CurrentSince Mar 18, 2013 Accepting new patients

Locations

1081B W Fond du Lac St
Ripon, WI 54971
Phone (920) 748-1497

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1447369798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081B W FOND DU LAC ST",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549719260",
            "telephone_number": "920-748-1497",
            "fax_number": "920-748-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081B W FOND DU LAC ST",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549719260",
            "telephone_number": "920-748-1497",
            "fax_number": "920-748-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "RUTH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "TPA2317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripon, WI

Sources for this page

Verify at the official NPI Registry.