Organization Active NPI

Mark Weinberger OD

  • Optometrist
  • West Mifflin, PA
National Provider Identifier
1699091637
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OET-9049 Issued in PA
Legal business name
MARK WEINBERGER OD
Practice address
2351 Century Dr
West Mifflin, PA 15122-2430
Phone
(412) 653-9700
Fax
(412) 653-3964
NPI assigned
Apr 15, 2010
Last updated
Apr 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Authorized official

Name
Mark R Weinberger, O.D.NPI 1922100478
Title
Optometrist
Phone
(412) 953-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG-0503 PA
Optometrist 152W00000X OET-9049 PA Primary

Addresses

Primary practice location

2351 Century Dr
West Mifflin, PA 15122-2430

Mailing address

2351 Century Dr
West Mifflin, PA 15122
Phone (412) 653-9700

Other identifiers 1

IdentifierTypeStateIssuer
102113605MedicaidPA

National Provider Directory

National Provider Directory

Locations

2351 Century Dr
West Mifflin, PA 15122
Phone (412) 653-9700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1699091637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 CENTURY DR",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "15122",
            "telephone_number": "412-653-9700",
            "fax_number": "412-653-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 CENTURY DR",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151222430",
            "telephone_number": "412-653-9700",
            "fax_number": "412-653-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK WEINBERGER OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "WEINBERGER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "412-953-3636",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-0503",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OET-9049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102113605",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Mifflin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.