Christopher Weidig, OD
Individual provider Active NPI Optometrist · Spring House, PA
NPI 1720042500 · NPPES record last updated Feb 7, 2011
Key facts
- NPI
- 1720042500
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OEG00550 (PA)
- Practice address
- 952 Penllyn Pike
Spring House, PA 19477-0000 - Phone
- (215) 628-8799
- Fax
- (215) 628-8798
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Spring House Eye Associates LLC
Practice addresses (Care Compare)
1005 Penllyn Pike
PO Box 75
Spring House, PA 19477-0075
PO Box
Suite 75
Spring House, PA 19477-0075
Phone (215) 628-8799
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 30 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040310001303 | PA | Practitioner - Optometry | 5294624193 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG00550 | PA | MD | Optometrist |
Interoperability endpoints
- cweidig@eyeclinicdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG00550 | PA | Yes |
Addresses
Primary practice location
952 Penllyn Pike
Spring House, PA 19477-0000
Mailing address
PO Box 75
952 Penllyn Pike
Spring House, PA 19477-0075
Phone (215) 628-8799
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639654 | Other | PA | BCBS ID |
| 2325746000 | Other | PA | KEYSTONE ID |
Other providers in Spring House, PA
- Ruth Brunilda Sumbler
- Matt Szczurek
- The Welcare Center
- Vita Drugs LLC
- Amol Prakash Waghmare
- Willow Medical Home Care Products, Inc.
- Melvyn Arnold Wolf
- Reesa Guller Wurtz
- Your Best You Aesthetics & Wellness LLC
All providers in Spring House, PA · Optometrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.