John J Weiter, MD PHD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

37856 Issued in MA

Practice address

39 Cross St Ste 201
Peabody, MA 01960-1666

Phone

(978) 854-5090

Fax

(978) 854-5755

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Chicago, Pritzker School of Medicine, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John J Weiter MD PCGroup PAC ID 4789820010, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

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.

• John J Weiter, MD, PC

  • Ophthalmology Physician
  • Peabody, MA
  • NPI 1891033411
  Medicare reassignment Care Compare group NPD Authorized official
• Nielsen Eye Center, Inc.

  • Clinic/Center
  • Quincy, MA
  • NPI 1982829669
  Medicare reassignment NPD
• John J. Weiter, MD PC

  • Eyewear Supplier
  • Methuen, MA
  • NPI 1497211924
  NPD Authorized official
• John J. Weiter, M.D., PH.D.

  • Ophthalmology Physician
  • Peabody, MA
  • NPI 1811145923
  NPD (past) Authorized official
• Retina Specialists of Boston, Inc.

  • Ophthalmology Physician
  • Cambridge, MA
  • NPI 1952535726
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1992795421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9142",
            "address_2": "MASS GENERAL PHYSICIAN ORGANIZATION",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021299142",
            "telephone_number": "617-724-0287",
            "fax_number": "617-726-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CROSS ST STE 201",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601666",
            "telephone_number": "978-854-5090",
            "fax_number": "978-854-5755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Milk St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Methuen",
            "state": "MA",
            "postal_code": "018444600",
            "country_code": "US",
            "telephone_number": "978-854-5090",
            "fax_number": "978-984-7158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Washington St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Wellesley",
            "state": "MA",
            "postal_code": "024811706",
            "country_code": "US",
            "telephone_number": "978-854-5090",
            "fax_number": "978-854-5755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEITER",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MA",
            "license": "37856",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "37856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "702997",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2048949",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "M08930",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Peabody, MA
• Providers in Peabody, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (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.