Provider Demographics
NPI:1821195629
Name:DRS.WEINBERGER & VIZY L.L.C
Entity Type:Organization
Organization Name:DRS.WEINBERGER & VIZY L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-765-1180
Mailing Address - Street 1:3690 ORANGE PL
Mailing Address - Street 2:# 230
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4464
Mailing Address - Country:US
Mailing Address - Phone:216-765-1180
Mailing Address - Fax:216-765-1163
Practice Address - Street 1:3690 ORANGE PL
Practice Address - Street 2:SUITE 230
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4464
Practice Address - Country:US
Practice Address - Phone:216-765-1180
Practice Address - Fax:216-765-1181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0556812Medicaid
OH0916736Medicaid
OH0916736Medicaid
OH0916736Medicaid
OHV10749253Medicare PIN
OHFA9268024Medicare Oscar/Certification
OHF35320Medicare UPIN