Dr Ricky Lee Weidow, OD - Medicare Optometrist in Lagrange, IN

Dr Ricky Lee Weidow, OD is a medicare enrolled "Optometrist" provider in Lagrange, Indiana. He went to Southern College Of Optometry and graduated in 1993 and has 27 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Northwest Indiana Eye And Laser Center Pc and his current practice location is 201 W Wayne St, Lagrange, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 463-3421.

Dr Ricky Lee Weidow is licensed to practice in Indiana (license number 18002670A/B) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639177793.

Contact Information

Dr Ricky Lee Weidow, OD
201 W Wayne St,
Lagrange, IN 46761-1850
(260) 463-3421
(260) 463-7347

Map and Direction




Healthcare Provider's Profile

Full NameDr Ricky Lee Weidow
GenderMale
SpecialityOptometry
Experience27 Years
Location201 W Wayne St, Lagrange, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ricky Lee Weidow attended and graduated from Southern College Of Optometry in 1993
  NPI Data:
  • NPI Number: 1639177793
  • Provider Enumeration Date: 07/12/2005
  • Last Update Date: 02/14/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 8921022328
  • Enrollment ID: I20091223000119

Medical Identifiers

Medical identifiers for Dr Ricky Lee Weidow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639177793NPI-NPPES
000000257711OtherINANTHEM BC/BS LAGRANGE
000000257712OtherINANTHEM BC/BS TOPEKA
000000635212OtherINANTHEM BC/BS NWIELC KNOX
200097680CMedicaidIN
200097680DMedicaidIN
5742334109OtherINVISION SERVICE PLAN SOUTH BEND
1174740682OtherINRENAISSANCE OCULAR DISEASE AND TRAUMA FOUNDATION TYPE 2 GROUP NPI
200097680EMedicaidIN
2604633421OtherINVISION SERVICE PLAN LAGRANGE
2605932505OtherINVISION SERVICE PLAN TOPEKA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 18002670A/B (Indiana)Primary
152WC0802XOptometrist - Corneal And Contact Management 18002670A/B (Indiana)Secondary
152WP0200XOptometrist - Pediatrics 18002670A/B (Indiana)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ricky Lee Weidow allows following entities to bill medicare on his behalf.
Entity NameNorthwest Indiana Eye & Laser Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336212117
PECOS PAC ID: 5193701340
Enrollment ID: O20060111000618
Entity NameRenaissance Ocular Disease And Trauma Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174740682
PECOS PAC ID: 7012057086
Enrollment ID: O20091223000144

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ricky Lee Weidow is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ricky Lee Weidow, OD
201 W Wayne St, Po Box 150,
Lagrange, IN 46761-1850

Ph: (260) 463-3421
Dr Ricky Lee Weidow, OD
201 W Wayne St,
Lagrange, IN 46761-1850

Ph: (260) 463-3421

Reviews and Comments

Optometrist in Lagrange, IN


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.