Active NPI
Joey Matthew Weaver, O.D.
- Optometrist
- Vienna, WV
National Provider Identifier
1760414312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 883-OD
- Practice address
- 900 Grand Central Ave
Suite C
Vienna, WV 26105-2147 - Phone
- (304) 699-4540
- Fax
- (304) 295-7822
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- 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 | 883-OD | WV | Primary |
Addresses
Primary practice location
900 Grand Central Ave
Suite C
Vienna, WV 26105-2147
Mailing address
900 Grand Central Ave
Suite C
Vienna, WV 26105-2147
Phone (304) 699-4540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0149600000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100629000337 | WV | Practitioner - Optometry | 7416088893 | Practice locations: Vienna, WV |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
900 Grand Central Ave
Suite C
Vienna, WV 26105-2191
Phone (304) 699-4540
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 883-OD | WV | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M F Anwar MD Inc | Optometrist | Past | Accepting new patients |
| M F Anwar MD Inc | Optometrist | Past | Accepting new patients |
| M F Anwar MD Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Optometrist
- Parkersburg, WV
- NPI 1013943653
-
- Optometrist
- Keyser, WV
- NPI 1598794059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1760414312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 GRAND CENTRAL AVE",
"address_2": "SUITE C",
"city": "VIENNA",
"state": "WV",
"postal_code": "261052147",
"telephone_number": "304-699-4540",
"fax_number": "304-295-7822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 GRAND CENTRAL AVE",
"address_2": "SUITE C",
"city": "VIENNA",
"state": "WV",
"postal_code": "261052147",
"telephone_number": "304-699-4540",
"fax_number": "304-295-7822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "JOEY",
"middle_name": "MATTHEW",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WV",
"license": "883-OD",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0149600000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.