Individual provider Active NPI

Harry David Weinstein, OD

  • Optometrist
  • Saint Johns, FL
National Provider Identifier
1568540870
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 2137 Issued in FL
Practice address
450 State Road 13
Saint Johns, FL 32259-3860
Phone
(904) 287-3678
NPI assigned
Nov 2, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 2137 FL Primary

Addresses

Primary practice location

450 State Road 13
Saint Johns, FL 32259-3860

Mailing address

PO Box 57784
Jacksonville, FL 32241-7784
Phone (904) 272-9433

Other practice location 1

88 Blanding Blvd
Orange Park, FL 32073-2601
Phone (904) 272-9433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130710000442 FL Practitioner - Optometry 0345480646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Florida, LLCGroup PAC ID 0143541037, 141 clinicians
Mack Eye Care PAGroup PAC ID 2567620651, 4 clinicians

Practice addresses (Care Compare)

450 State Rd
Suite 107
Saint Johns, FL 32259-3861
Phone (904) 287-3678

88 Blanding Blvd
Orange Park, FL 32073-2601
Phone (904) 272-9433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 2137FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Nov 14, 2017 Accepting new patients
Mack Eye Care PA Optometrist CurrentSince May 11, 2013 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Nov 14, 2017 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Past Accepting new patients

Locations

4668 Town Crossing Dr
Ste 143
Jacksonville, FL 32246
Phone (513) 765-6000

9560 Crosshill Blvd
Ste 106
Jacksonville, FL 32222
Phone (904) 777-2927

88 Blanding Blvd
Orange Park, FL 32073
Phone (904) 272-9429

450 State Road 13 N
St Johns, FL 32259
Phone (904) 230-3207

450 State Road 13 N
Ste 107
St Johns, FL 32259
Phone (904) 287-3387

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1568540870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57784",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322417784",
            "telephone_number": "904-272-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 STATE ROAD 13",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322593860",
            "telephone_number": "904-287-3678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Blanding Blvd",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320732601",
            "country_code": "US",
            "telephone_number": "904-272-9433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "HARRY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, FL

Sources for this page

Verify at the official NPI Registry.