DR. RICKY LEE WEIDOW O.D.
NPI 1639177793
Optometrist in Lagrange, IN

Q: What is Ricky Weidow's NPI number?

The NPI number for Ricky Weidow is 1639177793. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Q: What is Ricky Weidow's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Ricky Weidow was last updated on February 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment

201 W WAYNE ST, LAGRANGE, IN 46761(260) 463-3421(260) 463-7347 Get Directions Write a Review

NPPES record last updated: February 14, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Ricky Lee Weidow O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICKY LEE WEIDOW O.D. (NPI 1639177793) is an individual optometrist in Lagrange, Indiana, licensed in Indiana (18002670A/B) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1993).

NPPES Registry Identity

NPI1639177793

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. RICKY LEE WEIDOWCredential: O.D.

Location Address201 W WAYNE STLagrange, IN 46761-1850

Mailing Address201 W Wayne St, Po Box 150Lagrange, IN 46761-1850 · (260) 463-3421 · Fax (260) 463-7347

Phone(260) 463-3421

Fax(260) 463-7347

Sole ProprietorNo

Medical School CMSSouthern College Of OptometryGraduated 1993

Enumeration DateJuly 12, 2005

Last NPPES UpdateFebruary 14, 2010

✔ NPI 1639177793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in IN · 18002670A/B

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 18002670A/B (IN)

Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 18002670A/B (IN)

201 W WAYNE ST, Lagrange, IN 46761

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Other Identifiers 22

Other000000635212IN · Anthem Bc/bs Nwielc Knox

Medicare NSC4002320002IN

Medicare PIN180230IN

Medicare PIN410043915IN

Medicare PIN169220AIN

Medicare PIN169230AIN

Other000000257712IN · Anthem Bc/bs Topeka

Medicaid200097680EIN

Medicare NSC4002320001IN

Other5742334109IN · Vision Service Plan South Bend

Medicare UPINU62249IN

Medicare PIN410043916IN

Medicare PIN461830AIN

Other000000257711IN · Anthem Bc/bs Lagrange

Other2605932505IN · Vision Service Plan Topeka

Other2604633421IN · Vision Service Plan Lagrange

Medicaid200097680DIN

Medicare PIN461830IN

Other1174740682IN · Renaissance Ocular Disease And Trauma Foundation Type 2 Group Npi

Medicaid200097680CIN

Medicare PIN169220IN

Medicare PIN169230IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ricky Lee Weidow O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921022328

PECOS Enrollment IDI20091223000119

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

22 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46761 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENAISSANCE OCULAR DISEASE AND TRAUMA FOUNDATION, INC.

Optometrist

201 W WAYNE ST
LAGRANGE, IN 46761

Lagrange County (260) 463-3421

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ricky Weidow's NPI number?

The NPI number for Ricky Weidow is 1639177793. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Ricky Weidow located?

Ricky Weidow practices at 201 W Wayne St, Lagrange, IN 46761. The listed phone number is (260) 463-3421.

What is Ricky Weidow's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Ricky Weidow enrolled in Medicare?

Yes. Ricky Weidow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ricky Weidow accept?

Health plans from Providence Health Plan list Ricky Weidow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ricky Weidow was last updated on February 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.