NPIMap

Organization Active NPI

Mark a Weaver O D Inc

  • Optometrist
  • Orange, TX
National Provider Identifier
1770713810
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MARK A WEAVER O D INC
Practice address
1502 Strickland Dr Ste 4
Orange, TX 77630-2978
Phone
(409) 330-4324
Fax
(409) 330-4209
NPI assigned
Jul 23, 2009
Last updated
Apr 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Dr. Mark A. Weaver, ODNPI 1033246343
Title
President
Phone
(512) 567-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1502 Strickland Dr Ste 4
Orange, TX 77630-2978

Mailing address

5804 Burrough Dr
Austin, TX 78745-3468
Phone (512) 567-2020

Other names 1

  • Vision Quest Eye Center Former legal business name

National Provider Directory

National Provider Directory

Locations

2100 W William Cannon Dr
Ste I
Austin, TX 78745
Phone (512) 912-9100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1770713810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5804 BURROUGH DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453468",
            "telephone_number": "512-567-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 STRICKLAND DR STE 4",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776302978",
            "telephone_number": "409-330-4324",
            "fax_number": "409-330-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A WEAVER O D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-567-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Quest Eye Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Vision Quest Eye Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.