Individual provider Active NPI

Ronald S. Weingart

  • Optometrist
  • Oswego, IL
National Provider Identifier
1639169998
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-007810 Issued in IL
Practice address
2075 Wiesbrook Drive
Oswego, IL 60543-8312
Phone
(630) 844-0908
Fax
(630) 844-0677
NPI assigned
Oct 26, 2005
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-007810 IL Primary
Corneal and Contact Management Optometrist 152WC0802X 046-007810 IL
Vision Therapy Optometrist 152WV0400X 046-007810 IL

Addresses

Primary practice location

2075 Wiesbrook Drive
Oswego, IL 60543-8312

Mailing address

2075 Wiesbrook Rd
Oswego, IL 60543-8312
Phone (630) 844-0908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20101019000758 IL Practitioner - Optometry 1153365622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott Eye Care LTD.Group PAC ID 8123118650, 3 clinicians

Practice addresses (Care Compare)

2075 Wiesbrook Dr
Oswego, IL 60543-8312

2075 Wiesbrook Rd
Oswego, IL 60543-8312
Phone (630) 844-0908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-007810ILMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosebud Indian Health Service Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1639169998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 WIESBROOK RD",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438312",
            "telephone_number": "630-844-0908",
            "fax_number": "630-844-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 WIESBROOK DRIVE",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438312",
            "telephone_number": "630-844-0908",
            "fax_number": "630-844-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINGART",
        "first_name": "RONALD",
        "middle_name": "S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-007810",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "046-007810",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "IL",
            "license": "046-007810",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

Verify at the official NPI Registry.