Andria Ernestine Weber, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

MT631 Issued in MT

Practice address

2505 Catron St
Bozeman, MT 59718-7993

Phone

(406) 556-9032

NPI assigned

May 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 30, 2019 through Oct 30, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154535920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 BULLTAIL RD",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597148818",
            "telephone_number": "406-388-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 CATRON ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187993",
            "telephone_number": "406-556-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "ANDRIA",
        "middle_name": "ERNESTINE",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "MT631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Weas
• Rhianna Weaver, LAC
• Tyler Grant Weaver, M.D.
• Elizabeth Johnston Webb, LCSW
• Sarah Jameson Webb, LCSW
• Matthew Weber, LMT
• Adrienne Verelle Webster, LAC
• Elly Webster, RN
• Leslie Clarice Wechsel, LCSW
• Roya Wehking

• Optometrist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.