Weisman Eye Clinic LLC

Primary specialty

Neuro-ophthalmology PhysicianTaxonomy code 207WX0109X

License

0101048960 Issued in VA

Legal business name

WEISMAN EYE CLINIC LLC

Practice address

1225 Maple Ave SW
Roanoke, VA 24016-4707

Phone

(540) 345-2020

Fax

(540) 344-0079

NPI assigned

Feb 28, 2008

Organization subpart

No

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

Authorized official

Name

Joseph S Weisman, MD

Title

President

Phone

(540) 345-2020

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1679742167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 MAPLE AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164707",
            "telephone_number": "540-345-2020",
            "fax_number": "540-344-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 MAPLE AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164707",
            "telephone_number": "540-345-2020",
            "fax_number": "540-344-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEISMAN EYE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "WEISMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-345-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101048960",
            "primary": false
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "VA",
            "license": "0101048960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C10500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER ID",
            "identifier": "298425",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006300944",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kira E Wehlermann, LPTA
• Henry David Weigle, M.D.
• Kimberly Weinschreider, RPH
• Dennis Barry Weiserbs, MD
• Kendall Lynn Weishampel, FNP-C
• Joseph S Weisman, MD
• Richard Weiss
• Virginia Kathleen Weisz, MS, WHNP
• William Welch, M.D.
• Roy Welcher

• Ophthalmology Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.