Active NPI
Elizabeth Dube Weaver, O.D.
- Optometrist
- Mobile, AL
National Provider Identifier
1518065838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- SA17TA607
- Practice address
- 101 E I65 Service Rd S
Mobile, AL 36606-3900 - Phone
- (251) 471-5257
- NPI assigned
- Sep 20, 2006
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | SA17TA607 | AL | Primary |
Addresses
Primary practice location
101 E I65 Service Rd S
Mobile, AL 36606-3900
Mailing address
8287 Pine Run
Spanish Fort, AL 36527-8673
Phone (251) 454-2768
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009919175 | Medicaid | AL |
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 |
|---|---|---|---|
| SA17TA607 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Shore Eye Care, PC | Optometrist | Past | Accepting new patients |
| Optical Dimensions | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302652800000",
"number": "1518065838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8287 PINE RUN",
"city": "SPANISH FORT",
"state": "AL",
"postal_code": "365278673",
"telephone_number": "251-454-2768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E I65 SERVICE RD S",
"city": "MOBILE",
"state": "AL",
"postal_code": "366063900",
"telephone_number": "251-471-5257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "ELIZABETH",
"middle_name": "DUBE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2011-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "SA17TA607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009919175",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.