Weir Eye Clinic LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

459 Issued in ND

Legal business name

WEIR EYE CLINIC LLC

Practice address

849 3Rd Ave W
Dickinson, ND 58601-3810

Phone

(701) 483-2200

Fax

(701) 483-9333

NPI assigned

Jul 8, 2005

Last updated

Nov 6, 2007By 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

Mr. John C Weir, O.D.

Title

Owner

Phone

(701) 483-2200

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Weir Eye Clinic Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Jeanne Stuchl, O.D.

  • Optometrist
  • Bowman, ND
  • NPI 1992057236
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1629076245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 3RD AVE W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013810",
            "telephone_number": "701-483-2200",
            "fax_number": "701-483-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 3RD AVE W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013810",
            "telephone_number": "701-483-2200",
            "fax_number": "701-483-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIR EYE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "WEIR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-483-2200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RR MEDICARE",
            "identifier": "DE6860",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60630",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT MEDICAID",
            "identifier": "356694",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weir Eye Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Cartrena Watkins
• Tiffanni Wax, COTA/L
• Shane Michael Weber, DPT
• Jamie Wehrung, RRT, CPFT, AE-C
• Stephanie Marie Weinreis
• Jenna Weisz, OTR/L
• Kyle Wentz
• Lee M Werchau, PT
• West River Health Services (West River Foot and Ankle Center)
• West River Student Services

• Optometrist in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.