Active NPI
Erika Weaver, LDO
- Optician
- Clovis, CA
National Provider Identifier
1508696220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- SLD43416
- Practice address
- 323 W Shaw Ave
Clovis, CA 93612-3692 - Phone
- (559) 325-1898
- Fax
- (559) 325-0649
- NPI assigned
- Aug 6, 2024
- Last updated
- Aug 14, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | SLD43416 | CA | Primary |
Addresses
Primary practice location
323 W Shaw Ave
Clovis, CA 93612-3692
Mailing address
323 W Shaw Ave
Clovis, CA 93612-3692
Phone (559) 325-1898
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLD43416 | CA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1508696220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 W SHAW AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936123692",
"telephone_number": "559-325-1898",
"fax_number": "559-325-0649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 W SHAW AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936123692",
"telephone_number": "559-325-1898",
"fax_number": "559-325-0649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "ERIKA",
"credential": "LDO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-06",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "SLD43416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.