Jon-Marc Weston, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

17072 Issued in OR

Practice address

2435 NW Kline St
Roseburg, OR 97471-1690

Phone

(541) 672-2020

Fax

(541) 673-8084

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: direct@visionsurgerylaserctrpcroseburgor.compulinkdirect.com

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

• Nevada Eye Care Professionals Little & Stein LTD

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1689110264
  NPD (past)

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1629072053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 NW KLINE ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711690",
            "telephone_number": "541-672-2020",
            "fax_number": "541-673-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 NW KLINE ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711690",
            "telephone_number": "541-672-2020",
            "fax_number": "541-673-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTON",
        "first_name": "JON-MARC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "17072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024203",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@VisionSurgeryLaserCtrPCRoseburgOR.CompulinkDirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2435 NW Kline St",
            "city": "Roseburg",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974711690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James B Wells
• Rachelle Lynn Wells, CPNP-PC
• Mandy Wengert, RDH
• Sabrina West-Hagberg, CHW
• Linda Lou Westfall, WHCNP, NMNP
• Robert Justin Wheaton, QMHA
• Trina Wheeldon
• Gary E Wheeler, MD
• Shea Leigh Wheeler, QMHA
• Mackenzy James Whetzel, PSS

• Ophthalmology Physician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Ophthalmology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.