Provider Demographics
NPI:1144751546
Name:STEVEN WEISMAN O.D., P.C.
Entity Type:Organization
Organization Name:STEVEN WEISMAN O.D., P.C.
Other - Org Name:OPTICAL IMAGE BY DR. WEISMAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:520-293-6800
Mailing Address - Street 1:4500 N ORACLE RD
Mailing Address - Street 2:SUITE 127
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-1662
Mailing Address - Country:US
Mailing Address - Phone:520-293-6800
Mailing Address - Fax:520-299-8232
Practice Address - Street 1:4500 N ORACLE RD
Practice Address - Street 2:SUITE 127
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-1662
Practice Address - Country:US
Practice Address - Phone:520-293-6800
Practice Address - Fax:520-299-8232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ281152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty