Individual provider Active NPI

Christie Altice Weaver, O.D.

  • Optometrist
  • Chatham, VA
National Provider Identifier
1801817317
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001011 Issued in VA
Practice address
Chatham Family Eyecare Center
13995 US Highway 29 Suite 100
Chatham, VA 24531
Phone
(434) 432-9752
Fax
(434) 432-8580
NPI assigned
Jul 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001011 VA Primary

Addresses

Primary practice location

Chatham Family Eyecare Center
13995 US Highway 29 Suite 100
Chatham, VA 24531

Mailing address

13995 U.S. Highway 29, Suite 100
Chatham, VA 24531
Phone (434) 432-9752

Other identifiers 2

IdentifierTypeStateIssuer
009237267MedicaidVA
462613OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001011VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Weaver Associates, PC Optometrist PastSince Mar 1, 2003 Accepting new patients
Southern Virginia Eye Care, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801817317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13995 U.S. HIGHWAY 29, SUITE 100",
            "city": "CHATHAM",
            "state": "VA",
            "postal_code": "24531",
            "telephone_number": "434-432-9752",
            "fax_number": "434-432-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHATHAM FAMILY EYECARE CENTER",
            "address_2": "13995 US HIGHWAY 29 SUITE 100",
            "city": "CHATHAM",
            "state": "VA",
            "postal_code": "24531",
            "telephone_number": "434-432-9752",
            "fax_number": "434-432-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "CHRISTIE",
        "middle_name": "ALTICE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009237267",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "462613",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.