Organization Active NPI

Samuel L. Weir, O.D., P.C.

  • Optometrist
  • Warrenton, VA
National Provider Identifier
1629280946
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001510 Issued in VA
Legal business name
SAMUEL L. WEIR, O.D., P.C.
Practice address
528 Waterloo Rd
Warrenton, VA 20186-3011
Phone
(540) 347-0555
Fax
(540) 347-9198
NPI assigned
May 7, 2007
Last updated
Mar 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Dr. Samuel L Weir, O.D.NPI 1619933280
Title
Optometrist
Phone
(540) 347-0555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000249 VA
Optometrist 152W00000X 0618001510 VA Primary

Addresses

Primary practice location

528 Waterloo Rd
Warrenton, VA 20186-3011

Mailing address

528 Waterloo Rd
Warrenton, VA 20186-3011
Phone (540) 347-0555

Other identifiers 13

IdentifierTypeStateIssuer
11505363OtherVASHANNON COLBOURNE UHC
3991583OtherVASHANNON COLBOURNE AETNA
C09621OtherVAMEDICARE GROUP NUMBER
2140911OtherVASHANNON COLBOURNE MAMSI
7304730OtherVAAETNA GROUP NUMBER
231169OtherVASAMUEL WEIR MAMSI
1689630246OtherVASHANNON COLBOURNE NPI
187369OtherVASHANNON COLBOURNE ANTHEM
0671590OtherVASAMUEL WEIR AETNA
11230897OtherVASAMUEL WEIR UHC
1629280946OtherVAGROUP NPI NUMBER
075587OtherVASAMUEL WEIR ANTHEM
1619933280OtherVASAMUEL WEIR NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1629280946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "SAMUEL L. WEIR, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "WEIR",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "540-347-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000249",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHANNON COLBOURNE UHC",
            "identifier": "11505363",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHANNON COLBOURNE AETNA",
            "identifier": "3991583",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C09621",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHANNON COLBOURNE MAMSI",
            "identifier": "2140911",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP NUMBER",
            "identifier": "7304730",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAMUEL WEIR MAMSI",
            "identifier": "231169",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHANNON COLBOURNE NPI",
            "identifier": "1689630246",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHANNON COLBOURNE ANTHEM",
            "identifier": "187369",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAMUEL WEIR AETNA",
            "identifier": "0671590",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAMUEL WEIR UHC",
            "identifier": "11230897",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1629280946",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAMUEL WEIR ANTHEM",
            "identifier": "075587",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAMUEL WEIR NPI",
            "identifier": "1619933280",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.