Organization Active NPI

Daniel L Weinberg OD PSC

Doing business as Advanced Vision of Louisville

  • Optometrist
  • Louisville, KY
National Provider Identifier
1811313539
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DANIEL L WEINBERG OD PSC
Doing business as
Advanced Vision of Louisville
Practice address
4414 Shelbyville Rd Ste 204
Louisville, KY 40207-5328
Phone
(502) 894-4434
Fax
(502) 894-9912
NPI assigned
Mar 6, 2014
Last updated
Nov 18, 2024By the provider in NPPES
Organization subpart
No

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

Authorized official

Name
Daniel Weinberg, ODNPI 1801888946
Title
Owner
Phone
(502) 552-0967

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary
Vision Therapy Optometrist 152WV0400X

Addresses

Primary practice location

4414 Shelbyville Rd Ste 204
Louisville, KY 40207-5328

Mailing address

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

Other names 1

  • Advanced Vision of Louisville Doing business as

National Provider Directory

National Provider Directory

Locations

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

4949 Brownsboro Rd
Louisville, KY 40222
Phone (502) 438-8356

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1811313539",
    "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 RD STE 204",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075328",
            "telephone_number": "502-894-4434",
            "fax_number": "502-894-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL L WEINBERG OD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-552-0967",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Vision of Louisville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.