Active NPI
Weismann Eye Center, PC
- Ophthalmology Physician
- Saint John, IN
National Provider Identifier
1881995843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 01046205A
- Legal business name
- WEISMANN EYE CENTER, PC
- Practice address
- 10220 Wicker Ave Ste 2
Saint John, IN 46373-8400 - Phone
- (219) 365-3900
- Fax
- (218) 365-5874
- NPI assigned
- Nov 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Gail G. Weismann
- Title
- Office Manager
- Phone
- (219) 462-0018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01046205A | IN | Primary |
Addresses
Primary practice location
10220 Wicker Ave Ste 2
Saint John, IN 46373-8400
Mailing address
10220 Wicker Ave Ste 2
Saint John, IN 46373-8400
Phone (219) 365-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207W00000X | Medicaid | IN |
Other names 1
- Brian P. Weismann
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10220 Wicker Ave
Ste 2
Saint John, IN 46373
Phone (219) 365-3900
10220 Wicker Ave
Ste A
Saint John, IN 46373
Phone (219) 365-3900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- St John, IN
- NPI 1821082181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394409600000",
"number": "1881995843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10220 WICKER AVE STE 2",
"city": "SAINT JOHN",
"state": "IN",
"postal_code": "463738400",
"telephone_number": "219-365-3900",
"fax_number": "218-365-5874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10220 WICKER AVE STE 2",
"city": "SAINT JOHN",
"state": "IN",
"postal_code": "463738400",
"telephone_number": "219-365-3900",
"fax_number": "218-365-5874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEISMANN EYE CENTER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-08",
"last_updated": "2014-03-10",
"status": "A",
"authorized_official_last_name": "WEISMANN",
"authorized_official_first_name": "GAIL",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "219-462-0018",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "IN",
"license": "01046205A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207W00000X",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brian P. Weismann",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Saint John, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.