Robert A Weiland
Individual provider Active NPI Optometrist · Greenfield, IA
NPI 1659317865 · NPPES record last updated Dec 23, 2013
Key facts
- NPI
- 1659317865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- IA1605T (IA)
- Practice address
- 107 NE 2ND Street
Greenfield, IA 50849 - Phone
- (641) 743-6222
- Fax
- (641) 743-8261
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IA1605T | IA | MD | Optometrist |
| 01605 | IA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Robert H Sharp, PC | Optometrist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | IA1605T | IA | Yes |
Addresses
Primary practice location
107 NE 2ND Street
Greenfield, IA 50849
Mailing address
PO Box 137
Greenfield, IA 50849
Phone (641) 743-6222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0124958 | Medicaid | IA |
Other providers in Greenfield, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.