Samuel L. Weir, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000249 Issued in VA

Practice address

528 Waterloo Rd
Warrenton, VA 20186-3011

Phone

(540) 347-0555

Fax

(540) 347-9198

NPI assigned

Apr 24, 2006

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 4

Medicare fee-for-service enrollment

Enrolled in VA

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": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1619933280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5844 UNIVERSITY CT",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201879329",
            "telephone_number": "540-347-0555",
            "fax_number": "540-347-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 WATERLOO RD",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863011",
            "telephone_number": "540-347-0555",
            "fax_number": "540-347-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIR",
        "first_name": "SAMUEL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "075587",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "11230897",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0671590",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "231169",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra Marie Weast, FNP-BC
• Wecare Pharmacy LLC
• Wecare Pharmacy LLC
• Heather L Weidner, LAC
• Aileen Honeyman Weik, RD
• Jane Weisenberger
• Josephine Welle, PHARMD
• Sheila Brennan Wetherell, FNP
• Theodore C Whitcomb, PA-C
• Alonzo Nelson White

• Optometrist in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.