Jeffrey Lance Weaver, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003775 Issued in PA

Practice address

1200 W Godfrey Ave
Philadelphia, PA 19141-3323

Phone

(215) 276-6000

Fax

(215) 276-1329

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffrey.weaver.p12@direct.cornerstonecare.nextgenshare.com

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.

• Cornerstone Care Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, PA
  • NPI 1306474598
  NPD
• Cornerstone Care Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, PA
  • NPI 1679503346
  NPD
• Cornerstone Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Greensboro, PA
  • NPI 1376512582
  NPD
• Drexel University

  • Audiologist
  • Elkins Park, PA
  • NPI 1104822253
  NPD
• Drexel University

  • Nurse Practitioner
  • Philadelphia, PA
  • NPI 1821403734
  NPD
• Drexel University

  • Psychologist
  • Philadelphia, PA
  • NPI 1902900095
  NPD
• Curators of the University of Missouri

  • Optometrist
  • Saint Louis, MO
  • NPI 1679664718
  NPD
• Optical Expressions LLC

  • Optometrist
  • St Louis, MO
  • NPI 1932374741
  NPD
• Cornerstone Care Inc.

  • Federally Qualified Health Center (FQHC)
  • Uniontown, PA
  • NPI 1942551403
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1689779712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 BOSTONS FARM DR",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630443167",
            "telephone_number": "314-952-2226",
            "fax_number": "314-228-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W GODFREY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413323",
            "telephone_number": "215-276-6000",
            "fax_number": "215-276-1329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7840 NATURAL BRIDGE BLVD",
            "address_2": "PATIENT CARE CENTER",
            "address_purpose": "LOCATION",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63121",
            "country_code": "US",
            "telephone_number": "314-516-5016",
            "fax_number": "314-516-7701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3662 Bostons Farm Dr",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "MO",
            "postal_code": "630443167",
            "country_code": "US",
            "telephone_number": "314-770-1863",
            "fax_number": "314-228-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 S Pittsburgh St",
            "address_purpose": "LOCATION",
            "city": "Connellsville",
            "state": "PA",
            "postal_code": "154253531",
            "country_code": "US",
            "telephone_number": "724-628-3710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12422 Olive Blvd",
            "address_purpose": "LOCATION",
            "city": "Creve Coeur",
            "state": "MO",
            "postal_code": "631416392",
            "country_code": "US",
            "telephone_number": "314-579-0909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 N Beeson Ave Ste 403",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "PA",
            "postal_code": "154012937",
            "country_code": "US",
            "telephone_number": "724-439-8170",
            "fax_number": "724-438-2274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 7th St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Waynesburg",
            "state": "PA",
            "postal_code": "153701660",
            "country_code": "US",
            "telephone_number": "724-852-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JEFFREY",
        "middle_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4248T125",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003775",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02793",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Ann Weaver
• Caitlin Stewart Weaver, CRNP
• Emma Weaver, M.D.
• Henry Kyle Weaver
• Jason Cody Weaver, MSW, LCSW
• Jessica Weaver
• Katherine Weaver, DPT
• Laurel Ann Weaver, MD, PHD
• Lauren Lee Weaver, PA-C
• Lehn Weaver, M.D., PH.D.

• Optometrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.