Active NPI
Raymond Larwence Weiskind, O.D.
- Optometrist
- Dayton, OH
National Provider Identifier
1659378339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3051T978
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0239647 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3051T978 | OH | MD | Optometrist |
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.