Provider Demographics
NPI:1972516268
Name:WEILER, HAROLD HAUSER (MD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:HAUSER
Last Name:WEILER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 TECHNOLOGY PARK DR.
Mailing Address - Street 2:
Mailing Address - City:KILMARNOCK
Mailing Address - State:VA
Mailing Address - Zip Code:22482
Mailing Address - Country:US
Mailing Address - Phone:804-435-0547
Mailing Address - Fax:804-435-2712
Practice Address - Street 1:101 TECHNOLOGY PARK DR.
Practice Address - Street 2:
Practice Address - City:KILMARNOCK
Practice Address - State:VA
Practice Address - Zip Code:22482
Practice Address - Country:US
Practice Address - Phone:804-435-0547
Practice Address - Fax:804-435-2712
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101019976207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006300332Medicaid
VAC02399Medicare PIN
VA180000254Medicare ID - Type Unspecified
VAB09989Medicare UPIN