Individual provider Active NPI

Daniel L Weinberg, OD

  • Optometrist
  • Louisville, KY
National Provider Identifier
1801888946
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1049DT Issued in KY
Practice address
4414 Shelbyville Road
Suite 204
Louisville, KY 40207
Phone
(502) 894-4434
Fax
(502) 894-9912
NPI assigned
Aug 16, 2005
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1049DT KY Primary

Addresses

Primary practice location

4414 Shelbyville Road
Suite 204
Louisville, KY 40207

Mailing address

4949 Brownsboro Rd # 271
Louisville, KY 40222-6424
Phone (502) 552-0967

Other identifiers 2

IdentifierTypeStateIssuer
100020520AMedicaidIN
77021798MedicaidKY

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20041111000371 KY Practitioner - Optometry 7719940519 Reassigns benefits to 2 organizations
Practice locations: Louisville, KY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William F. Metzger, PSCGroup PAC ID 7911923800, 11 clinicians

Practice addresses (Care Compare)

4350 Brownsboro Rd
Suite 210
Louisville, KY 40207-1681
Phone (248) 528-2116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
William F. Metzger, PSC Optometrist CurrentSince Apr 16, 2025 Accepting new patients
Mooney Eyecare Centre, PLLC Optometrist CurrentSince May 1, 2024 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist CurrentSince Oct 5, 2024 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist CurrentSince Oct 5, 2024 Accepting new patients

Locations

500 Winchester Ave
Ste 810
Ashland, KY 41101
Phone (606) 324-3672

6287 Taylorsville Rd
Ste B1
Fisherville, KY 40023
Phone (502) 354-0508

4350 Brownsboro Rd
Ste 210
Louisville, KY 40207
Phone (830) 212-1661

4414 Shelbyville Rd
Ste 204
Louisville, KY 40207
Phone (502) 894-4434

327 Eastbrooke Pointe Dr
Ste 100
Mt Washington, KY 40047
Phone (502) 538-4362

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1801888946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 BROWNSBORO RD # 271",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402226424",
            "telephone_number": "502-552-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 SHELBYVILLE ROAD",
            "address_2": "SUITE 204",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-894-4434",
            "fax_number": "502-894-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "DANIEL",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1049DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100020520A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77021798",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.