Donald L. Weiss Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD1073 Issued in TN

Practice address

110 Mathis Dr
Suite 108
Dickson, TN 37055-2000

Phone

(615) 446-8089

Fax

(615) 441-3135

NPI assigned

Jun 9, 2005

Last updated

Nov 29, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1518961325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MATHIS DR",
            "address_2": "SUITE 108",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552000",
            "telephone_number": "615-446-8089",
            "fax_number": "615-441-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MATHIS DR",
            "address_2": "SUITE 108",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552000",
            "telephone_number": "615-446-8089",
            "fax_number": "615-441-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "DONALD",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD1073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0393090004",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiny Weaver
• Ashley Nicole Webb
• Mary Alice Weber, PHYSICAL THERAPIST
• Bryan Wegg, MD
• Sheri Ellen Weiner, AU.D.
• Lori A. Weiss, O.D.
• Hannah Weissmann, PTA
• Well Health Dickson
• Alec Werry, DPT
• Ryan Michael Whitaker, MD

• Optometrist in Dickson, TN
• Providers in Dickson, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.