Provider Demographics
NPI:1487117735
Name:WEYEKERT LLC
Entity type:Organization
Organization Name:WEYEKERT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WEIKERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-330-3451
Mailing Address - Street 1:223 WATERBURY CIR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6201
Mailing Address - Country:US
Mailing Address - Phone:615-330-3451
Mailing Address - Fax:
Practice Address - Street 1:2001 MALLORY LN STE 105
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8220
Practice Address - Country:US
Practice Address - Phone:615-716-8388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-12
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty