Organization Active NPI

Weber Eye Care, LLC

  • Optometrist
  • Ripon, WI
National Provider Identifier
1861737991
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WEBER EYE CARE, LLC
Practice address
1081B W Fond Du Lac St
Ripon, WI 54971-9260
Phone
(920) 748-1497
Fax
(920) 748-1492
NPI assigned
Nov 29, 2012
Last updated
Dec 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Dr. Ruth A Weber, ODNPI 1447369798
Title
Owner
Phone
(920) 748-1497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1081B W Fond Du Lac St
Ripon, WI 54971-9260

Mailing address

1081B W Fond Du Lac St
Ripon, WI 54971-9260
Phone (920) 748-1497

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130513000494 WI Part B Supplier - Clinic/Group Practice 7911143912 Receives reassigned benefits from 1 practitioner
Practice locations: Ripon, WI

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1861737991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081B W FOND DU LAC ST",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549719260",
            "telephone_number": "920-748-1497",
            "fax_number": "920-748-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081B W FOND DU LAC ST",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549719260",
            "telephone_number": "920-748-1497",
            "fax_number": "920-748-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBER EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-748-1497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.