Jerome Weitzen

Primary specialty

OptometristTaxonomy code 152W00000X

License

700 Issued in FL

Practice address

213 N Laura St
Jacksonville, FL 32202-3501

Phone

(904) 353-3163

Fax

(904) 355-1813

NPI assigned

Nov 13, 2007

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

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1958

Medicare assignment

May accept Medicare assignment

Group practices

Jerome Weitzen OD PAGroup PAC ID 4486706819, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Jerome Weitzen OD PA

  • Optometrist
  • Jacksonville, FL
  • NPI 1346288339
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1730369232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N LAURA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023501",
            "telephone_number": "904-353-3163",
            "fax_number": "904-355-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N LAURA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023501",
            "telephone_number": "904-353-3163",
            "fax_number": "904-355-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZEN",
        "first_name": "JEROME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Weiss, CAP
• Natalie R Weiss, MD, MBA
• Tiffany Weiss, PHARMD
• Marissa Weisse, BCBA
• Amanda Beth Weitzen, O.D.
• Jeffery Preston Weitzner, M.D.
• Wekiva Springs Center LLC
• Bobbie Welch
• Haley Kay Welch
• Jodi Welch, PTA

• Optometrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.