Individual provider Active NPI

Aaron I Weinstein, OD

  • Optometrist
  • Waldorf, MD
National Provider Identifier
1912960964
Registry record updated Dec 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1142 Issued in MD
Practice address
3080 Waldorf Market PL
Waldorf, MD 20603-4872
Phone
(301) 843-9112
Fax
(301) 843-9989
NPI assigned
Apr 10, 2006
Last updated
Dec 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1142 MD Primary

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

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20110204000548 MD Practitioner - Optometry 3274512942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weinstein Eye Associates LLCGroup PAC ID 2466431127, 6 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA1142MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Weinstein Eye Associates LLC Optometrist CurrentSince 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.