Todd Michial Weaver

Primary specialty

OpticianTaxonomy code 156FX1800X

License

N/A Issued in NU

Practice address

2801 Highway 180 E Ste 7
Mineral Wells, TX 76067-4774

Phone

(940) 328-0011

Fax

(817) 423-1115

NPI assigned

Apr 1, 2008

Last updated

Apr 1, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1548432206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 HIGHWAY 180 E STE 7",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760674774",
            "telephone_number": "940-328-0011",
            "fax_number": "817-423-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 HIGHWAY 180 E STE 7",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760674774",
            "telephone_number": "940-328-0011",
            "fax_number": "817-423-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "TODD",
        "middle_name": "MICHIAL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores Texas, LLC (Wal-Mart Vision Center 30-0804)
• Walgreen Co (Walgreens #10258)
• Kody Wallace
• Roger R Wang, D.O.
• William John Warren, DPM
• Janiel Lynn Werner, MNT
• West Wharton County Hospital District (Mineral Wells Nursing & Rehabilitation)
• Dacia Whitaker, LCSW
• Edmund Stuart Whitson IV, DMD
• Sherry Diane Wiley, SLP-ASSISTANT

• Optician in Mineral Wells, TX
• Providers in Mineral Wells, TX by specialty
• Optician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.