Zachery R Weinberg, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2080DT Issued in KY

Practice address

512 Washington St
Chagrin Falls, OH 44022-4453

Phone

(440) 247-4920

NPI assigned

Jul 19, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Forest City Vision LLC

  • Vision Therapy Optometrist
  • Beachwood, OH
  • NPI 1629833496
  NPD Authorized official
• Daniel L Weinberg OD PSC

  • Optometrist
  • Louisville, KY
  • NPI 1811313539
  NPD

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1679096812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28600 ORANGE MEADOW LN",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440221452",
            "telephone_number": "502-523-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 WASHINGTON ST",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440224453",
            "telephone_number": "440-247-4920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4414 Shelbyville Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402075328",
            "country_code": "US",
            "telephone_number": "502-894-4434",
            "fax_number": "502-894-9912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "ZACHERY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-19",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "KY",
            "license": "2080DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2080DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washington Square Chiropractic Clinic, LLC
• Tracy Woodrow Watson Jr., CRNA
• Susan Levy Wayne
• Lori Ann Weber
• Wendy Weinberg Weil, E1600081S. LPCC-S
• Carey Sullivan Wentzel, M.S., CF-SLP
• Western Reserve Therapists, Inc.
• Haley Wheeler, LCSW
• Gail Margaret White, M.D.
• Janine Wilkes

• Optometrist in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.