Brodsky & Weikum, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

002243TG Issued in TX

Legal business name

BRODSKY & WEIKUM, INC

Practice address

2100 Ross Ave # 260LB4
Dallas, TX 75201-2739

Phone

(214) 220-2425

Fax

(214) 220-2488

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Roger Allen Weikum, O.D.NPI 1407944259

Title

Therapeutic Optometrist

Phone

(214) 220-2425

Specialties & licenses 2

Addresses

Other names 1

• Dr. Roger Weikum Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roger Allen Weikum, OD

  • Optometrist
  • Dallas, TX
  • NPI 1407944259
  Medicare reassignment Care Compare group NPD Authorized official
• Sandra L Easter, OD

  • Optometrist
  • Mesquite, TX
  • NPI 1871686055
  Medicare reassignment Care Compare group NPD
• Wamika Kumar, OD

  • Optometrist
  • Durant, OK
  • NPI 1730700303

  TX

  Medicare reassignment Care Compare group NPD
• Tyah Danielle Johnson, O.D.

  • Optometrist
  • Dallas, TX
  • NPI 1689051195
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1598889289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 ROSS AVE # 260LB4",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012739",
            "telephone_number": "214-220-2425",
            "fax_number": "214-220-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 ROSS AVE # 260LB4",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012739",
            "telephone_number": "214-220-2425",
            "fax_number": "214-220-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRODSKY & WEIKUM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "WEIKUM",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "THERAPEUTIC OPTOMETRIST",
        "authorized_official_telephone_number": "214-220-2425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "002243TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "002243TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Roger Weikum",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Donna Wilkinson Broden, SLP
• Genesis Broden
• Albert C Broders III, MD
• Samuel Fitzgerald Broders, MD
• Grace Elizabeth Brodie
• Charles S Brodsky, M.D.
• Greta Vance Brodsky, M.D.
• James W Brodsky, MD
• Madeline Elizabeth Broemsen, RN, CPNP-AC/PC
• Jillian Brogdon, LPC

• Optometrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.