Sara Lynae Weidmayer, O.D., F.A.A.O.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004566 Issued in MI

Practice address

1400 W Maumee St
Adrian, MI 49221-1804

Phone

(517) 265-5444

NPI assigned

Oct 19, 2010

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 MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• DRS. Ravin, Birndorf & Ravin, Inc.

  dba Specialty Eye Institute

  • Ophthalmology Physician
  • Toledo, OH
  • NPI 1316043110

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1801106208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12661 SCHLEWEIS RD",
            "city": "MANCHESTER",
            "state": "MI",
            "postal_code": "481589611",
            "telephone_number": "231-580-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W MAUMEE ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211804",
            "telephone_number": "517-265-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDMAYER",
        "first_name": "SARA",
        "middle_name": "LYNAE",
        "name_prefix": "Dr.",
        "credential": "O.D., F.A.A.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Ann Watkins, LMSW
• Le'Shay Webb, LPC
• Cailin Ashton Weber
• Colleen Elizabeth Webster, RN
• Josephine C Weeden, DDS MS PC
• Kathryn M Weiks, LLMSW
• Megan Welker, CCC-SLP
• Rosemary Agnes Wendt, DPT
• Jennifer Lynn Werner, P.T.A.
• Allison Wessell, MS, RD, LD, CLS

• Optometrist in Adrian, MI
• Providers in Adrian, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.