Individual provider Active NPI

Anthony R Weber, O.D.

  • Optometrist
  • Effingham, IL
National Provider Identifier
1942482096
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.007949 Issued in IL
Practice address
1301 W Evergreen Ave
Suite B
Effingham, IL 62401-1634
Phone
(217) 342-3838
Fax
(217) 342-3880
NPI assigned
Nov 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.007949 IL Primary

Addresses

Primary practice location

1301 W Evergreen Ave
Suite B
Effingham, IL 62401-1634

Mailing address

1301 W Evergreen Ave
Suite B
Effingham, IL 62401-1634
Phone (217) 342-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20071214000184 IL Practitioner - Optometry 8224128251 Reassigns benefits to 1 organization
Practice locations: Effingham, IL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weber Optiks IncGroup PAC ID 2264669928, 3 clinicians

Practice addresses (Care Compare)

1301 W Evergreen Ave
Suite B
Effingham, IL 62401-1634
Phone (217) 342-3838

Merit-based Incentive Payment System (MIPS)

Final score
75.96 of 100Reported as group
Quality
51.91
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.007949ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Weber Optiks Inc. Optometrist CurrentSince May 29, 2013 Accepting new patients
Ideal Eye Surgery LLC Past Accepting new patients

Locations

1301 W Evergreen Ave
Ste B
Effingham, IL 62401
Phone (217) 342-3838

Organizations & group practices 2

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": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1942482096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W EVERGREEN AVE",
            "address_2": "SUITE B",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624011634",
            "telephone_number": "217-342-3838",
            "fax_number": "217-342-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W EVERGREEN AVE",
            "address_2": "SUITE B",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624011634",
            "telephone_number": "217-342-3838",
            "fax_number": "217-342-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "ANTHONY",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-30",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.007949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.