Aaron I Weinstein, OD – Optometrist in Waldorf, MD

Key facts

NPI: 1912960964
Entity type: Individual (NPI type 1)
Primary specialty: Optometrist 152W00000X
License: TA1142 (MD)
Practice address: 3080 Waldorf Market PL
Waldorf, MD 20603-4872
Phone: (301) 843-9112
Fax: (301) 843-9989
NPI assigned: Apr 10, 2006
Sex: Male
Sole proprietor: No

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.

Weinstein Eye Associates LLC Optometrist · Odenton, MD · NPI 1922124072

Medicare reassignment Care Compare group NPD Authorized official MD · OPTOMETRIST
Weinstein Eye Associates LLC Optometrist · Waldorf, MD · NPI 1649438490

NPD (past) Authorized official OPTOMETRIST
Weinstein Eye Associates LLC Optometrist · Odenton, MD · NPI 1891190252

NPD (past) Authorized official OPTOMETRIST

Medicare Care Compare profile

Specialty: Optometry
Education: Pennsylvania College of Optometry, 1991
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Weinstein Eye Associates LLC (6 clinicians)

Practice addresses (Care Compare)

1215 Annapolis Rd
Suite 103
Odenton, MD 21113-1334
Phone (410) 672-2515

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MD
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20110204000548	MD	Practitioner - Optometry	3274512942	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
TA1142	MD	MD	Optometrist

Practice roles

Organization	Specialty	Status	New patients
Weinstein Eye Associates LLC	Optometrist	Current since Jan 1, 1996	Accepting new patients
Weinstein Eye Associates LLC	Optometrist	Past	Accepting new patients
Weinstein Eye Associates LLC	Optometrist	Past	Accepting new patients

Locations

10700 Town Center Blvd
Dunkirk, MD 20754
Phone (443) 550-1800

1215 Annapolis Rd
Ste 103
Odenton, MD 21113
Phone (301) 672-2515

5743 Crain Hwy
Uppr Marlboro, MD 20772
Phone (301) 627-4485

3080 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 843-9112

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Optometrist	152W00000X	TA1142	MD	Yes

Addresses

Primary practice location

3080 Waldorf Market PL
Waldorf, MD 20603-4872

Mailing address

1215 Annapolis Rd
Suite 103
Odenton, MD 21113-1344
Phone (410) 672-2515

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 22, 2013.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387670400000",
    "number": "1912960964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 ANNAPOLIS RD",
            "address_2": "SUITE 103",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131344",
            "telephone_number": "410-672-2515",
            "fax_number": "301-912-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 WALDORF MARKET PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034872",
            "telephone_number": "301-843-9112",
            "fax_number": "301-843-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "AARON",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2013-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

All providers in Waldorf, MD · Optometrist in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.