Individual provider Active NPI

Raymond Larwence Weiskind, O.D.

  • Optometrist
  • Dayton, OH
National Provider Identifier
1659378339
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3051T978 Issued in OH
Practice address
5419 N Main St
Dayton, OH 45415-3454
Phone
(937) 278-0675
Fax
(937) 278-9535
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3051T978 OH Primary

Addresses

Primary practice location

5419 N Main St
Dayton, OH 45415-3454

Mailing address

7111 Colleen CT
Dayton, OH 45415-1201
Phone (937) 836-1815

Other identifiers 1

IdentifierTypeStateIssuer
0239647MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3051T978OHMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1659378339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 COLLEEN CT",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151201",
            "telephone_number": "937-836-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153454",
            "telephone_number": "937-278-0675",
            "fax_number": "937-278-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISKIND",
        "first_name": "RAYMOND",
        "middle_name": "LARWENCE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3051T978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0239647",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.