Douglas Floyd Weiss, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000628 Issued in VA

Practice address

5 Centre Court
Palmyra, VA 22963-2329

Phone

(434) 591-0262

Fax

(434) 591-0111

NPI assigned

Dec 12, 2006

Last updated

Oct 25, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fluvanna Eye CareGroup PAC ID 3678930658, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: douglas.weiss.1@20955.direct.athenahealth.com

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

• Fluvanna Eye Care

  • Optometrist
  • Palmyra, VA
  • NPI 1942992771
  Medicare reassignment Care Compare group NPD
• Douglas & Victoria M Weiss

  • Optometrist
  • Palmyra, VA
  • NPI 1205997764
  Medicare reassignment NPD
• DRS. Weiss Optometrists

  • Optometrist
  • Fork Union, VA
  • NPI 1740479088
  NPD (past) Authorized official
• Dr Beattie Fork Union Office

  • Optometrist
  • Fork Union, VA
  • NPI 1417071002
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1902967466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CENTRE COURT",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229632329",
            "telephone_number": "434-591-0262",
            "fax_number": "434-591-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CENTRE COURT",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229632329",
            "telephone_number": "434-591-0262",
            "fax_number": "434-591-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "DOUGLAS",
        "middle_name": "FLOYD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000628",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0050411",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "151998",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "224432",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9234292",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9233202",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "204999",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vantage Medical Trans
• Virginia CVS Pharmacy, L.L.C. (CVS Pharmacy # 00947)
• Denise M Wall, LPN, IBCLC, RLC
• Susan W. Watkins, PT
• Kaitlyn Paxton Webster, CRNA
• Victoria Molnar Weiss, OD
• Michelle Wellman, RPH
• Richard E. Wells Jr., D.C.
• Aisha Nicole Williams-Cusano, LPC
• David Lloyd Williams, PHARM D

• Optometrist in Palmyra, VA
• Providers in Palmyra, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.