Individual provider Active NPI

Michael Weiskopf, O.D.

  • Optometrist
  • Boynton Beach, FL
National Provider Identifier
1679523864
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP1870 Issued in FL
Practice address
901 N Congress Ave
Suite 104
Boynton Beach, FL 33426-3316
Phone
(561) 732-8005
Fax
(561) 732-0150
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP1870 FL Primary

Addresses

Primary practice location

901 N Congress Ave
Suite 104
Boynton Beach, FL 33426-3316

Mailing address

110 S Flagler Way
West Palm Beach, FL 33405-3379
Phone (561) 582-8388

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
OP1870FLMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1679523864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S FLAGLER WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334053379",
            "telephone_number": "561-582-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N CONGRESS AVE",
            "address_2": "SUITE 104",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263316",
            "telephone_number": "561-732-8005",
            "fax_number": "561-732-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISKOPF",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP1870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.