Individual provider Active NPI

Meredith Alyse Weinberger, OD

  • Optometrist
  • Elkton, MD
National Provider Identifier
1972817724
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2209 Issued in MD
Practice address
103 Chesapeake Blvd
Suite C
Elkton, MD 21921-6391
Phone
(410) 392-6133
Fax
(410) 392-8120
NPI assigned
Aug 4, 2010
Last updated
Feb 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2209 MD Primary
Optometrist 152W00000X I3-0001347 DE

Addresses

Primary practice location

103 Chesapeake Blvd
Suite C
Elkton, MD 21921-6391

Mailing address

103 Chesapeake Blvd
Suite C
Elkton, MD 21921-6391
Phone (410) 392-6133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110104000407 MD Practitioner - Optometry 0143419341 Reassigns benefits to 1 organization
I20110503000106 DE Practitioner - Optometry 0143419341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Douglas J Lavenburg MD PAGroup PAC ID 3476549098, 6 clinicians

Practice addresses (Care Compare)

1 Centurian Dr
Suite 114
Newark, DE 19713-2154
Phone (410) 392-6133

103 Chesapeake Blvd
Suite C
Elkton, MD 21921-6391
Phone (410) 392-6133

Merit-based Incentive Payment System (MIPS)

Final score
92.15 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I3-0001347DEMDOptometrist
TA2209MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas J Lavenburg MD PA Optometrist CurrentSince Aug 23, 2010 Accepting new patients

Locations

1 Centurian Dr
Ste 114
Newark, DE 19713
Phone (302) 993-0722

103 Chesapeake Blvd
Ste C
Elkton, MD 21921
Phone (410) 392-6133

Interoperability endpoints

  • Direct secure messaging: maweinberger@lavenburg.direct.eyemdemr.com

Organizations & group practices 1

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": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1972817724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CHESAPEAKE BLVD",
            "address_2": "SUITE C",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216391",
            "telephone_number": "410-392-6133",
            "fax_number": "410-392-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CHESAPEAKE BLVD",
            "address_2": "SUITE C",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216391",
            "telephone_number": "410-392-6133",
            "fax_number": "410-392-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERGER",
        "first_name": "MEREDITH",
        "middle_name": "ALYSE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2209",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.