Organization Active NPI

Weber Optiks Inc.

  • Optometrist
  • Effingham, IL
National Provider Identifier
1679903850
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WEBER OPTIKS INC.
Practice address
1301 W Evergreen Ave
Suite B
Effingham, IL 62401-1634
Phone
(217) 342-3838
Fax
(217) 342-3880
NPI assigned
Nov 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Tony R Weber, O.D.
Title
Co-Owner
Phone
(217) 342-3838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1301 W Evergreen Ave
Suite B
Effingham, IL 62401-1634

Mailing address

1301 W Evergreen Ave
Suite B
Effingham, IL 62401-1634
Phone (217) 342-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131230001337 IL Part B Supplier - Clinic/Group Practice 2264669928 Receives reassigned benefits from 3 practitioners
Practice locations: Effingham, IL

National Provider Directory

National Provider Directory

Locations

1301 W Evergreen Ave
Ste B
Effingham, IL 62401
Phone (217) 342-3838

108 N 14th St
Mattoon, IL 61938

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1679903850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W EVERGREEN AVE",
            "address_2": "SUITE B",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624011634",
            "telephone_number": "217-342-3838",
            "fax_number": "217-342-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W EVERGREEN AVE",
            "address_2": "SUITE B",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624011634",
            "telephone_number": "217-342-3838",
            "fax_number": "217-342-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBER OPTIKS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "217-342-3838",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.