Brian Joseph Weaver, O.D., M.B.A.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2800 Issued in WI

Practice address

4419 N Sheffield Ave
Shorewood, WI 53211-1307

Phone

(262) 391-8112

NPI assigned

Sep 6, 2006

Last updated

Mar 6, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Site Vision Care Center Inc

  • Optometrist
  • New Berlin, WI
  • NPI 1467664680
  NPD (past)
• Stein Optical Inc.

  dba Stein Optical

  • Optometrist
  • Milwaukee, WI
  • NPI 1801829551
  NPD (past)
• Valley Vision Clinic SC

  • Optometrist
  • Neenah, WI
  • NPI 1477522324
  NPD (past)
• Vision Mart Inc

  • Optician
  • Milwaukee, WI
  • NPI 1366491227

  Optometrist

  NPD (past)
• Vision Mart, Inc

  dba Vision Mart

  • Optician
  • Milwaukee, WI
  • NPI 1184753352
  NPD (past)
• Insight Vision Inc.

  • Optometrist
  • Marion, IA
  • NPI 1316912579
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1568565349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17275 MORNINGVIEW CT",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454358",
            "telephone_number": "262-391-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 N SHEFFIELD AVE",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111307",
            "telephone_number": "262-391-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "BRIAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Prof.",
        "credential": "O.D., M.B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "TPOP110",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Louise Vuyk, M.S., CCC/SLP
• Walgreen Co (Walgreens #15188)
• Walgreen Co (Walgreens #15159)
• Wendy Ann Walsh, LCSW
• Susan Wasserman, MSW
• Paulynn Mary Weber, R.PH.
• Lucinda D. Weston, M.S. CCC
• Wheaton Franciscan Medical Group
• Kristen Marie White, LMT
• Marvin Wiener, M.D.

• Optometrist in Shorewood, WI
• Providers in Shorewood, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.