Amanda Beth Weitzen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4248 Issued in FL

Practice address

213 N Laura St
Jacksonville, FL 32202-3501

Phone

(904) 353-3163

NPI assigned

Aug 12, 2007

Last updated

Mar 13, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Other, 2007

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jerome Weitzen OD PA

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

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

{
    "created_epoch": "1186876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1770775900",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZEN",
        "first_name": "AMANDA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-12",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Allan Weiss, RN
• Mary Weiss, CAP
• Natalie R Weiss, MD, MBA
• Tiffany Weiss, PHARMD
• Marissa Weisse, BCBA
• Jerome Weitzen
• Jeffery Preston Weitzner, M.D.
• Wekiva Springs Center LLC (Wekiva Springs Center)
• Bobbie Welch
• Haley Kay Welch

• 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 Mar 13, 2014; 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.