David E. Weaver, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

569 Issued in SC

Practice address

1212 Haywood Rd
Suite 600
Greenville, SC 29615-2200

Phone

(864) 234-7700

Fax

(864) 288-7180

NPI assigned

Nov 9, 2005

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

Other identifiers 2

Other names 1

• Dr. David Weaver Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1790766426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 HAYWOOD RD",
            "address_2": "SUITE 600",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152200",
            "telephone_number": "864-234-7700",
            "fax_number": "864-288-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 HAYWOOD RD",
            "address_2": "SUITE 600",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152200",
            "telephone_number": "864-234-7700",
            "fax_number": "864-288-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "DAVID",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL",
            "identifier": "569",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DO5698",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "WEAVER",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kim Namiko Weatherby, CRNA
• Bruce Epps Weatherly
• Tyler Weathers
• Angelica Weaver
• April Nicole Weaver
• Jeffrey David Weaver, D.D.S.
• Maria Weaver, MS, OTR/L
• Abby Rebecca Lay Webb, PA-C
• Casey Webb
• Colin B Webb, MD

• Optometrist in Greenville, SC
• Providers in Greenville, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.