Provider Demographics
NPI:1285706432
Name:WEINBERG, CHARMAIN KAREN (OD)
Entity type:Individual
Prefix:DR
First Name:CHARMAIN
Middle Name:KAREN
Last Name:WEINBERG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14050 US HIGHWAY 1
Mailing Address - Street 2:SUITE E
Mailing Address - City:JUNO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-1410
Mailing Address - Country:US
Mailing Address - Phone:561-622-7220
Mailing Address - Fax:561-622-7880
Practice Address - Street 1:14050 US HIGHWAY 1
Practice Address - Street 2:SUITE E
Practice Address - City:JUNO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-1410
Practice Address - Country:US
Practice Address - Phone:561-622-7220
Practice Address - Fax:561-622-7880
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3063152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3063OtherEYEMED
FL22913OtherSPECTERA
FL44081OtherDAVIS VISION
FLU96149Medicare UPIN
FLU1040Medicare ID - Type Unspecified