Active NPI
Curtis Weaver, O.D.
- Optometrist
- Wheaton, IL
National Provider Identifier
1386638997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-007064
- Practice address
- 160 Danada SQ W
Wheaton, IL 60189-2041 - Phone
- (630) 752-0595
- Fax
- (630) 752-0145
- NPI assigned
- Sep 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046-007064 | IL | Primary |
Addresses
Primary practice location
160 Danada SQ W
Wheaton, IL 60189-2041
Mailing address
241 W 17TH St
Lombard, IL 60148-6138
Phone (630) 916-7992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-007064 | IL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267142400000",
"number": "1386638997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 W 17TH ST",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486138",
"telephone_number": "630-916-7992",
"fax_number": "630-752-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 DANADA SQ W",
"city": "WHEATON",
"state": "IL",
"postal_code": "601892041",
"telephone_number": "630-752-0595",
"fax_number": "630-752-0145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "CURTIS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2010-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-007064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.