Jerome Weitzen Od Pa

LBN: Jerome Weitzen Od Pa
Jerome Weitzen Od Pa is an health care organization with primary practice located at 213 N Laura St , Jacksonville FL 32202-3501. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Jerome Weitzen Od Pa can be contacted via phone (904) 353-3163, or through Weitzen, Jerome via phone (904) 353-3163.

Contact Information

Primary practice address
213 N Laura St Jacksonville FL 32202-3501
Phone: (904) 353-3163
Fax: (904) 355-1813
Website:
Map and Directions
Authorized official contact:
Name: Weitzen, Jerome Doctor of Optometry (OD)
Phone: (904) 353-3163

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 700 Florida

Profile Details

NPI number 1346288339
LBN Legal business name Jerome Weitzen Od Pa
DBA Doing business as
Authorized official Weitzen, Jerome Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2006
Last updated Jul 8th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346288339 NPPES
Florida MEDICAID 084160900

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