Active NPI
Daniel L Weinberg, OD
- Optometrist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1049DT
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100020520A | Medicaid | IN | |
| 77021798 | Medicaid | KY |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William F. Metzger, PSC | Optometrist | Current | Accepting new patients |
| Mooney Eyecare Centre, PLLC | Optometrist | Current | Accepting new patients |
| Ky Doctors of Optometry, PLLC | Optometrist | Current | Accepting new patients |
| Ky Doctors of Optometry, PLLC | Optometrist | Current | 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.
-
- Optometrist
- Ft Wright, KY
- NPI 1174657993
-
dba Advanced Vision of Louisville
- Optometrist
- Louisville, KY
- NPI 1811313539
-
dba Visionworks Drs of Optometry
- Eyewear Supplier
- St Matthews, KY
- NPI 1801610985
Optometrist
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.