Active NPI
James W Weitkamp, O.D.
- Optometrist
- Arroyo Grande, CA
National Provider Identifier
1811040413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13063
- Practice address
- 260 S Halcyon Rd
Arroyo Grande, CA 93420-3135 - Phone
- (805) 489-8410
- Fax
- (805) 233-6375
- NPI assigned
- Jan 19, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 13063 | CA | Primary |
| Optician | 156FX1800X |
Addresses
Primary practice location
260 S Halcyon Rd
Arroyo Grande, CA 93420-3135
Mailing address
260 S Halcyon Rd
Arroyo Grande, CA 93420-3135
Phone (805) 489-8410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 California College of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1118 E Grand Ave
Arroyo Grande, CA 93420-2590
Phone (805) 489-5577
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arroyo Grande Optometry, Inc. | Current | Accepting new patients | |
| Richard Martin, M.D. Rehabilitative and Restorative Medicine Inc. | Past | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients |
Locations
1118 E Grand Ave
Arroyo Grande, CA 93420
Phone (805) 489-5577
Organizations & group practices 3
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.
-
- Clinic/Center
- Arroyo Grande, CA
- NPI 1194365023
-
- Rehabilitation Practitioner
- Arroyo Grande, CA
- NPI 1316225246
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1811040413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 S HALCYON RD",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934203135",
"telephone_number": "805-489-8410",
"fax_number": "805-233-6375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 S HALCYON RD",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934203135",
"telephone_number": "805-489-8410",
"fax_number": "805-233-6375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEITKAMP",
"first_name": "JAMES",
"middle_name": "W",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "13063",
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arroyo Grande, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.