Physician Compare National (NPI:1891834776)

HEALTHCARE PROVIDER: NICHOLAS BRIAN WEBER O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1891834776
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153477658
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090924000728
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WEBER
	Individual professional last name
Provider First Name	NICK
	Individual professional first name
Provider Middle Name	B
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	432 PRIVATE DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 288
	Group Practice or individual's line 2 address
City	SOUTH POINT
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	456807900
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7408944749
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y