Organization Active NPI

Jennifer L Weaver O.D., LLC

  • Optometrist
  • Columbus, OH
National Provider Identifier
1205169125
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5438 Issued in OH
Legal business name
JENNIFER L WEAVER O.D., LLC
Practice address
8425 Pulsar PL
Suite 240
Columbus, OH 43240-2079
Phone
(614) 885-9355
Fax
(614) 885-9359
NPI assigned
Sep 9, 2009
Last updated
Sep 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
Dr. Jennifer L Weaver, O.D.
Title
Member
Phone
(614) 313-2722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5438 OH Primary

Addresses

Primary practice location

8425 Pulsar PL
Suite 240
Columbus, OH 43240-2079

Mailing address

8425 Pulsar PL
Suite 240
Columbus, OH 43240-2079
Phone (614) 885-9355

National Provider Directory

National Provider Directory

Locations

8425 Pulsar Pl
Ste 240
Columbus, OH 43240
Phone (614) 885-9355

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1205169125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8425 PULSAR PL",
            "address_2": "SUITE 240",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432402079",
            "telephone_number": "614-885-9355",
            "fax_number": "614-885-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8425 PULSAR PL",
            "address_2": "SUITE 240",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432402079",
            "telephone_number": "614-885-9355",
            "fax_number": "614-885-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER L WEAVER O.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "614-313-2722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.