Lang Wieber O.D., P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3186 Issued in MN

Legal business name

LANG WIEBER O.D., P.A.

Doing business as

Dr. Jeffrey Wieber

Practice address

15300 Grove Cir N
Maple Grove, MN 55369-4469

Phone

(763) 416-5083

NPI assigned

Jun 19, 2013

Last updated

Jun 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Wieber, O.D.

Title

President

Phone

(812) 272-8309

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jeffrey Wieber Doing business as

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1528407905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18595 218TH AVE NW",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553099164",
            "telephone_number": "812-272-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 GROVE CIR N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694469",
            "telephone_number": "763-416-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANG WIEBER O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "WIEBER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-272-8309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Jeffrey Wieber",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amie Jo Lamott
• Ryan Lee Landgraff
• Bonnie Gail Landrum, MD
• Sarah Marie Lane, PA
• Michele Marie Laney, LMFT
• Angie Lange, SLP
• Roxie Lou Lange, RN
• Vanessa Lange, PA-C
• Janis Langsdale
• Beth A Larson, LP (PSYCHOLOGIST)

• Optometrist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.