| Organization Name: | WEIS EYE CENTER |
| NPI Number: | 1154633253 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY R WEIS (OWNER) |
| Mailing Address: | 4815 W Arrowhead Rd Suite 120 Hermantown |
| State: | MN US |
| Postal Code: | 558114004 |
| Phone Number: | 2186251917 |
| Fax Number: | |
| NPI Enumeration Date: | 07/06/2010 |
| NPI Last Update Date: | 07/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS0132X |
| License Number: | 42784 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ophthalmologic Surgery |
| Taxonomy Definition: | |