Richard G. Weintraub, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002766-1 Issued in NY

Practice address

1401 Route 300
Newburgh Mall
Newburgh, NY 12550-2990

Phone

(845) 561-6305

Fax

(845) 561-7857

NPI assigned

Oct 17, 2006

Last updated

Jul 8, 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clear Quest

  dba Jules Vision Center

  • Optometrist
  • Newburgh, NY
  • NPI 1053473512
  Authorized official Same address or phone
• Jules Optical Co, LTD

  dba jules vision center

  • Optician
  • Vails Gate, NY
  • NPI 1396897146
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912087412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "city": "VAILS GATE",
            "state": "NY",
            "postal_code": "125840006",
            "telephone_number": "845-561-6305",
            "fax_number": "845-561-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ROUTE 300",
            "address_2": "NEWBURGH MALL",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502990",
            "telephone_number": "845-561-6305",
            "fax_number": "845-561-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINTRAUB",
        "first_name": "RICHARD",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "002766-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Elizabeth Webb, LMHC
• James Peter Weber, RN
• Onidia C Weinert, CRNA
• Marvin J Weingarten, M.D.
• Chad Weinstein, DC
• Dorothy A Weiss, CRNA
• Jonathan M Weiss, DDS
• Katherine Wells, MA
• Yong N Wen, MD
• Wendy Keller, LCSW, LLC (Behavioral Health Services of the Hudson Valley)

• Optometrist in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.