Individual provider Active NPI

Nicholas Brian Weber, O.D.

  • Optometrist
  • South Point, OH
National Provider Identifier
1891834776
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2020DT Issued in KY
Practice address
432 Private Drive 288
South Point, OH 45680-7900
Phone
(740) 894-4749
Fax
(740) 894-4827
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5251T2155 OH
Optometrist 152W00000X 2020DT KY Primary

Addresses

Primary practice location

432 Private Drive 288
South Point, OH 45680-7900

Mailing address

2119 Carter Ave
Ashland, KY 41101-7733
Phone (606) 329-2243

Other practice location 1

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-8999

Other identifiers 1

IdentifierTypeStateIssuer
2270742MedicaidOH

Other names 1

  • Nick Weber Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090924000728 OH Practitioner - Optometry 1153477658 Practice locations: South Point, OH
I20160831001959 KY Practitioner - Optometry 1153477658 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weber West Eye Care, PSCGroup PAC ID 6507140225, 2 clinicians

Practice addresses (Care Compare)

2119 Carter Ave
Ashland, KY 41101-7733

432 Private Dr
Suite 288
South Point, OH 45680-7900
Phone (740) 894-4749

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
78.19
Promoting interoperability
100
Improvement activities
40
Cost
70.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery70

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020DTKYMDOptometrist
5251T2155OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Weber West Eye Care, PSC Optometrist CurrentSince Feb 1, 2017 Accepting new patients
University of Kentucky CurrentSince Dec 1, 2022 Accepting new patients
University of Kentucky Past Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

2119 Carter Ave
Ashland, KY 41101
Phone (606) 329-2243

613 23rd St
Ste 350
Ashland, KY 41101
Phone (606) 327-0036

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

Interoperability endpoints

  • Direct secure messaging: nweber276897@ukhcdirect.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1891834776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 CARTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017733",
            "telephone_number": "606-329-2243",
            "fax_number": "606-324-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 PRIVATE DRIVE 288",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456807900",
            "telephone_number": "740-894-4749",
            "fax_number": "740-894-4827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411012843",
            "country_code": "US",
            "telephone_number": "606-408-8999",
            "fax_number": "606-408-6069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "NICHOLAS",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5251T2155",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2020DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2270742",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICK",
            "last_name": "WEBER",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Point, OH

Sources for this page

Verify at the official NPI Registry.