Randall M Weishaus, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004032 Issued in MI

Practice address

220 S Main St
Rochester, MI 48307-2029

Phone

(248) 651-7986

NPI assigned

Jan 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MI

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

New England College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jartll CorpGroup PAC ID 3274639596, 8 clinicians

Practice addresses (Care Compare)

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.

• Jartll Corp

  • Optometrist
  • Southfield, MI
  • NPI 1952420267
  Medicare reassignment Care Compare group NPD
• Jartll Corp

  • Optometrist
  • Bloomfield Hills, MI
  • NPI 1417008624
  NPD
• Jartll Corp

  • Optometrist
  • Rochester, MI
  • NPI 1932250156
  NPD
• Jartll Corp

  • Optometrist
  • Auburn Hills, MI
  • NPI 1548311756
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1518945104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S MAIN ST",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072029",
            "telephone_number": "248-651-7986",
            "fax_number": "248-651-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S MAIN ST",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072029",
            "telephone_number": "248-651-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISHAUS",
        "first_name": "RANDALL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4148410",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0F37720",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4685330",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518945104",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4148400",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "RW004032",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Lynn Warner, N.P.
• Janet Gray Warner, MD
• Keegan Murphy Warner
• Timothy M Wasmund, DC
• Lucas Weingartz
• Valerie Lynn Weiss, MSW
• Amy Kay Welby, LMSW
• Jacqueline Welch
• Wellhealth Medical Associates P C
• Lucinda Marie Wenzlick, M.D.

• Optometrist in Rochester, MI
• Providers in Rochester, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.