Organization Active NPI

Richard Wiener, O.D.

  • Optometrist
  • Connersville, IN
National Provider Identifier
1992950547
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RICHARD WIENER, O.D.
Practice address
124 E 6TH St
Connersville, IN 47331-2025
Phone
(765) 825-4127
Fax
(765) 827-6577
NPI assigned
Nov 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Dr. Richard Wiener, O.D.NPI 1952475444
Title
Owner
Phone
(765) 825-4127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

124 E 6TH St
Connersville, IN 47331-2025

Mailing address

124 E 6TH St
Connersville, IN 47331-2025
Phone (765) 825-4127

Other identifiers 2

IdentifierTypeStateIssuer
100114620AMedicaidIN
4299980001OtherINDMEPOS NUMBER

National Provider Directory

National Provider Directory

Locations

124 E 6th St
Connersville, IN 47331
Phone (765) 825-4127

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1992950547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E 6TH ST",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312025",
            "telephone_number": "765-825-4127",
            "fax_number": "765-827-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E 6TH ST",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312025",
            "telephone_number": "765-825-4127",
            "fax_number": "765-827-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD WIENER, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "WIENER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-825-4127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100114620A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS NUMBER",
            "identifier": "4299980001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Connersville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.