Provider Demographics
NPI:1447411434
Name:WEIGEL FAMILY EYE CARE
Entity Type:Organization
Organization Name:WEIGEL FAMILY EYE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY-TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:WEIGEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:812-663-2480
Mailing Address - Street 1:223 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47240-1721
Mailing Address - Country:US
Mailing Address - Phone:812-663-2480
Mailing Address - Fax:812-662-0486
Practice Address - Street 1:223 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:IN
Practice Address - Zip Code:47240-1721
Practice Address - Country:US
Practice Address - Phone:812-663-2480
Practice Address - Fax:812-662-0486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-23
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN56000048A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100460420AMedicaid
IN100460420AMedicaid