Organization Active NPI

Weismann Eye Center, PC

  • Ophthalmology Physician
  • Saint John, IN
National Provider Identifier
1881995843
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01046205A Issued in IN
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

Updated by the provider on Mar 10, 2014

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
207W00000XMedicaidIN

Other names 1

  • Brian P. Weismann Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101123000711 IN Part B Supplier - Clinic/Group Practice 8426244922 Receives reassigned benefits from 1 practitioner
Practice locations: St John, IN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.