Organization Active NPI

Weiss Cosmetic & Laser Vision Medical Group Inc.

  • Ophthalmic Technician/Technologist
  • Newport Beach, CA
National Provider Identifier
1962685214
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X
License
G51078A
Legal business name
WEISS COSMETIC & LASER VISION MEDICAL GROUP INC.
Practice address
360 San Miguel Dr
Suite 403
Newport Beach, CA 92660-7830
Phone
(949) 720-1400
Fax
(949) 720-1457
NPI assigned
Dec 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
Dr. Richard Alan Weiss, MDNPI 1841382199
Title
Doctor
Phone
(949) 720-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Technician/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1100X G51078A Primary

Addresses

Primary practice location

360 San Miguel Dr
Suite 403
Newport Beach, CA 92660-7830

Mailing address

360 San Miguel Dr
Suite 403
Newport Beach, CA 92660-7830
Phone (949) 720-1400

National Provider Directory

National Provider Directory

Locations

360 San Miguel Dr
Ste 403
Newport Beach, CA 92660
Phone (949) 720-1400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1962685214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR",
            "address_2": "SUITE 403",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607830",
            "telephone_number": "949-720-1400",
            "fax_number": "949-720-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR",
            "address_2": "SUITE 403",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607830",
            "telephone_number": "949-720-1400",
            "fax_number": "949-720-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEISS COSMETIC & LASER VISION MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "949-720-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": null,
            "license": "G51078A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.