Kristi K Weatherly OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KRISTI K WEATHERLY OD LLC

Practice address

744 Shenango Rd Ste 1
Beaver Falls, PA 15010-7111

Phone

(724) 846-2020

Fax

(724) 846-7287

NPI assigned

Jul 1, 2020

Organization subpart

No

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

Authorized official

Name

Kristi K Weatherly, ODNPI 1376983445

Title

President

Phone

(724) 544-9667

Specialties & licenses 1

Addresses

Other names 1

• Lilly Optometric Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

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

• Kristi K Weatherly, OD

  • Optometrist
  • Beaver Falls, PA
  • NPI 1376983445
  Medicare reassignment NPD Authorized official
• Melvin E Lilly

  • Optometrist
  • Beaver Falls, PA
  • NPI 1639142276
  NPD
• Jessica Frye, OD

  • Optometrist
  • Monroeville, PA
  • NPI 1962844647
  NPD (past)

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1700403169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SCARLET PEAK CT",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160664844",
            "telephone_number": "724-544-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 SHENANGO RD STE 1",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150107111",
            "telephone_number": "724-846-2020",
            "fax_number": "724-846-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTI K WEATHERLY OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "WEATHERLY",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-544-9667",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lilly Optometric",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica K Kolson
• Michael William Kopacko
• Brandi Kopas, MA
• Jodi Kostek
• Rose Ashley Kravos, PHARMD
• Gerilyn Marie Kullen, OTR/L
• Jonathan Frank Labach, DC
• Sergiusz Leslaw Labudek, PT
• Ronald Rye Lampkins III
• Brooke Lawson, PMHNP-BC

• Optometrist in Beaver Falls, PA
• Providers in Beaver Falls, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.