MEDICARE: EDWARD WEISS O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC 2220	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	53682	OTHER	DAVIS VISION
2	41297	OTHER	AVESIS
3	EW15887	OTHER	UNITED HEALTH CARE
4	650432986	OTHER	NATIONAL VISION ADMINISTR
5	FL2220	OTHER	EYEMED
6	19560	OTHER	BC BS OF FLORIDA
7	OPC-2220	OTHER	VISION BENEFITS OF AMERIC

General Provider Information

NPI Number	:	1124079983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD WEISS O.D.

Provider Business Mailing Address
First Line	:	9844 BIRD RD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-3912
Country	:	US
Telephone Number	:	305-221-3322
Fax Number	:

Provider Business Practice Location Address
First Line	:	9844 SW 40TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-3912
Country	:	US
Telephone Number	:	305-221-3322
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	05/31/2017

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Directions to “ EDWARD WEISS O.D.” Practice Location

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