Individual provider Active NPI

Frederick Herbert Weidman III, MD

  • Ophthalmology Physician
  • Charlotte, NC
National Provider Identifier
1730179102
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
39896 Issued in NC
Practice address
135 S Sharon Amity Rd
Suite 100
Charlotte, NC 28211-2842
Phone
(704) 365-0111
Fax
(704) 367-8124
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 39896 NC
Ophthalmology Physician 207W00000X 39896 NC Primary

Addresses

Primary practice location

135 S Sharon Amity Rd
Suite 100
Charlotte, NC 28211-2842

Mailing address

PO Box 60160
Charlotte, NC 28260-0160
Phone (704) 365-0555

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20100730000812 NC Practitioner - Ophthalmology 7315070422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
West Virginia University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Eye Care PAGroup PAC ID 2163484072, 26 clinicians

Practice addresses (Care Compare)

10520 Park Rd
Charlotte, NC 28210-8487
Phone (704) 541-6127

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
93.64
Promoting interoperability
100
Improvement activities
40
Cost
75.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39896NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Eye Care, PA Ophthalmology CurrentSince Jan 1, 1998 Accepting new patients
Horizon Eye Care, PA PastSince Jan 12, 2020 Accepting new patients

Locations

135 S Sharon Amity Rd
Ste 100
Charlotte, NC 28211
Phone (704) 365-0555

11010 David Taylor Dr
Charlotte, NC 28262
Phone (704) 717-0058

10512 Park Rd
Ste 200
Charlotte, NC 28210
Phone (704) 295-3650

10520 Park Rd
Charlotte, NC 28210
Phone (704) 541-6127

10834 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 717-0058

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: frederick.weidman.p1@direct.horizoneye.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1730179102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60160",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600160",
            "telephone_number": "704-365-0555",
            "fax_number": "704-367-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S SHARON AMITY RD",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112842",
            "telephone_number": "704-365-0111",
            "fax_number": "704-367-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDMAN",
        "first_name": "FREDERICK",
        "middle_name": "HERBERT",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NC",
            "license": "39896",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "39896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.