Kenneth Ray Weaver, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

23010 Issued in KY

Practice address

715 Shaker Dr Ste 110
Lexington, KY 40504-3674

Phone

(859) 313-5000

Fax

(859) 313-5002

NPI assigned

Jul 7, 2005

Last updated

Aug 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

OphthalmologyAlso: Optometry

Education

University of Kentucky College of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Frankfort Eye Center PSCGroup PAC ID 0941375612, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frankfort Eye Center PSC

  • Ophthalmology Physician
  • Frankfort, KY
  • NPI 1275790636
  Medicare reassignment Care Compare group NPD
• Kentucky Institute for Eye Health & Surgery

  dba Kentucky Eye Institute

  • Durable Medical Equipment & Medical Supplies
  • Middlesboro, KY
  • NPI 1013015510

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501718400000",
    "number": "1689671430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SHAKER DR",
            "address_2": "SUITE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043674",
            "telephone_number": "859-313-5000",
            "fax_number": "859-313-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SHAKER DR STE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043674",
            "telephone_number": "859-313-5000",
            "fax_number": "859-313-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KENNETH",
        "middle_name": "RAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2017-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "23010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64230105",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "611164546",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000068949",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000073116",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda Catherine Weathers
• Daniel Timothy Weaver, MB BCH BAO
• Jeffrey Donovan Weaver, M.D.
• John Kenneth Weaver, D.M.D.
• Kelly Michele Weaver, APRN
• Rachel Gunn Weaver, PA-C
• Robert Harrison Weaver, MD
• Stephanie Webb Pauley, LAC, DIPL. OM
• Andrea Rachelle Webb
• Angela K Webb, MD

• Ophthalmology Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Ophthalmology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.