MEDICARE: WEISMAN EYE CLINIC LLC

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	207W00000X	Ophthalmology Physician	0101048960	VA
2	207WX0109X	Neuro-ophthalmology Physician	0101048960	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C10500	OTHER		MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	298425	OTHER		BC/BS PROVIDER ID
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679742167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEISMAN EYE CLINIC LLC

Provider Business Mailing Address
First Line	:	1225 MAPLE AVE SW
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24016-4707
Country	:	US
Telephone Number	:	540-345-2020
Fax Number	:	540-344-0079

Provider Business Practice Location Address
First Line	:	1225 MAPLE AVE SW
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24016-4707
Country	:	US
Telephone Number	:	540-345-2020
Fax Number	:	540-344-0079

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSEPH S WEISMAN
Credential	:	MD
Telephone Number	:	540-345-2020

Provider Enumeration Date	:	02/28/2008
Last Update Date	:	08/18/2020

Similar Medicare Providers

1811946452 — DR. WILLEM ALBERT JOHAN ROELOFSEN IV D.C.
Practice Location Address:

1231 MAPLE AVE SW
ROANOKE, VA
24016-4707

Practice Phone: 540-342-9445
Practice Fax: 540-342-9446

1659324267 — DR. JOSEPH S WEISMAN MD
Practice Location Address:

1225 MAPLE AVE SW
ROANOKE, VA
24016-4707

Practice Phone: 540-345-2020
Practice Fax:

1275735870 — EYE DESIGNS OPTICAL
Practice Location Address:

1227 MAPLE AVE SW
ROANOKE, VA
24016-4707

Practice Phone: 540-342-6664
Practice Fax: 540-342-7063

1649830118 — MRS. KRISTIN HOOD WRIGHT MT-BC
Practice Location Address:

1217 MAPLE AVE SW
ROANOKE, VA
24016-4707

Practice Phone: 434-709-5872
Practice Fax:

1225756067 — REYNOLDS CHIROPRACTIC, LLC
Practice Location Address:

1231 MAPLE AVE SW
ROANOKE, VA
24016-4707

Practice Phone: 540-342-9445
Practice Fax: 540-342-9446

1588513378 — MR. EMMITT KASEY LPC
Practice Location Address:

707 5TH ST NE
ROANOKE, VA
24016-2123

Practice Phone: 540-966-5808
Practice Fax:

Directions to “WEISMAN EYE CLINIC LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.