Weaver Eye Care Associates, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001233 Issued in PA

Legal business name

WEAVER EYE CARE ASSOCIATES, INC.

Practice address

7185 Bernville Rd
Suite B
Bernville, PA 19506-8624

Phone

(610) 488-5315

Fax

(610) 488-5296

NPI assigned

Aug 13, 2010

Last updated

Jun 6, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brendon Jon Weaver, O.D.NPI 1861454241

Title

President

Phone

(610) 488-5315

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brendon J Weaver, O.D.

  • Optometrist
  • Bernville, PA
  • NPI 1861454241
  Medicare reassignment Care Compare group NPD Authorized official
• Andrew Larson, O.D.

  • Optometrist
  • Kutztown, PA
  • NPI 1538508031
  Medicare reassignment Care Compare group NPD
• Marlon G Burt, OD

  • Optometrist
  • Little River, SC
  • NPI 1871584144
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1093020158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7185 BERNVILLE RD",
            "address_2": "SUITE B",
            "city": "BERNVILLE",
            "state": "PA",
            "postal_code": "195068624",
            "telephone_number": "610-488-5315",
            "fax_number": "610-488-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7185 BERNVILLE RD",
            "address_2": "SUITE B",
            "city": "BERNVILLE",
            "state": "PA",
            "postal_code": "195068624",
            "telephone_number": "610-488-5315",
            "fax_number": "610-488-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEAVER EYE CARE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "BRENDON",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-488-5315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3234646",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9784584",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "207044",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "3804266000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Carl Ross, MA, CAC, LPC
• Elizabeth Ann Shalters, MASSAGE THERAPIST
• Silver Fox Transportation LLC
• Thomas A Stewart, MD
• Tulpehocken Area School District
• Brendon J Weaver, O.D.
• Alexis R Wise, LPC
• Stephanie E Yorty, CRNP
• David Edmond Young, MD
• David Cowley Zonies, M.D.

• Optometrist in Bernville, PA
• Providers in Bernville, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.