Active NPI
Richard A Weiss, M.D.
- Optometrist
- Newport Beach, CA
National Provider Identifier
1841382199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- G51078
- Practice address
- 360 San Miguel Dr
Suite 403
Newport Beach, CA 92660-7853 - Phone
- (949) 720-1400
- NPI assigned
- Sep 28, 2006
- 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 | G51078 | CA | Primary |
Addresses
Primary practice location
360 San Miguel Dr
Suite 403
Newport Beach, CA 92660-7853
Mailing address
360 San Miguel Dr
Suite 403
Newport Beach, CA 92660-7853
Phone (949) 720-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 6, 2023 through Jul 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G51078 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841382199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 SAN MIGUEL DR",
"address_2": "SUITE 403",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607853",
"telephone_number": "949-720-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 SAN MIGUEL DR",
"address_2": "SUITE 403",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607853",
"telephone_number": "949-720-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "RICHARD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "G51078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
- Kenneth Joseph Weir, RCP,CRT,PA
- Rita M Weise, NURSE PRACTITIONER
- Weiss Cosmetic & Laser Vision Medical Group Inc.
- James Elliot Weiss, D.C
- James M Weiss, M.D.
- Royce Weiss
- Laurel Weissman, LCSW
- Jeffrey Weitz
- Wel-Mor Psychology Group, Inc (South Coast Counseling & Psychological Services)
- David Welch, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.