James Robert Weaver Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2891 Issued in FL

Practice address

1900 Mason Ave
Suite 100
Daytona Beach, FL 32117-5103

Phone

(386) 274-5525

Fax

(386) 274-5585

NPI assigned

Apr 20, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eyewearllc

  • Eyewear Supplier
  • Melbourne, FL
  • NPI 1518054956
  NPD (past)
• Florida Eye Consultants Inc

  • Medical Specialty Clinic/Center
  • Melbourne, FL
  • NPI 1962416511
  NPD (past)
• Lawrence Sider OD PA

  • Optometrist
  • Boca Raton, FL
  • NPI 1366545618
  NPD (past)
• Vision One Inc

  • Optometrist
  • Daytona Beach, FL
  • NPI 1457308322
  NPD (past)
• Vision One Inc

  • Optometrist
  • Port Orange, FL
  • NPI 1467538272
  NPD (past)
• Vision One Inc

  • Optometrist
  • Daytona Beach, FL
  • NPI 1952314346
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1326265232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 ADMIRALTY BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555216",
            "telephone_number": "321-632-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MASON AVE",
            "address_2": "SUITE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175103",
            "telephone_number": "386-274-5525",
            "fax_number": "386-274-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaleel Watson
• Joseph Thomas Watson, D.P.M.
• Joslynn Watson, LMHC
• Lindsey Watson, APRN
• Mattie Marie Watson
• Patricia Erin Weaver, FNP
• Cherise Webb, M.A., RMHCI
• Kettia Jenny Webber
• Cody Weber, PHARMD
• Hali Weeks

• Optometrist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.