Steven J. Weaver, O.D. LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

328345-9934 Issued in UT

Legal business name

STEVEN J. WEAVER, O.D. LLC

Doing business as

Alpine Vision Center

Practice address

11038 Highland Blvd
#300
Highland, UT 84003-3785

Phone

(801) 756-7150

Fax

(801) 642-0938

NPI assigned

Mar 8, 2007

Last updated

Jul 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven J. Weaver, O.D.NPI 1487630588

Title

Optometrist

Phone

(802) 756-7150

Specialties & licenses 1

Addresses

Other names 1

• Alpine Vision Center Doing business as

Locations

Practitioners 1

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.

• Steven J Weaver, OD

  • Optometrist
  • Highland, UT
  • NPI 1487630588
  NPD (past) Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1801927140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11038 HIGHLAND BLVD",
            "address_2": "#300",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840033785",
            "telephone_number": "801-756-7150",
            "fax_number": "801-642-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11038 HIGHLAND BLVD",
            "address_2": "#300",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840033785",
            "telephone_number": "801-756-7150",
            "fax_number": "801-642-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN J. WEAVER, O.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "802-756-7150",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "328345-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rodney John Slater, D.M.D.
• Kelsie Smalley, MT-BC
• Gavyn Christian Smith, DDS
• Julie Spencer, MS
• Nikole Decker Squires, LAT, ATC, CPT
• Denise Stratton, MS, CCC-SLP
• Paisley Summerhays
• Peter Michael Sundwall
• Peter V Sundwall Jr., M.D.
• Chelsi Taylor, DNP

• Optometrist in Highland, UT
• Providers in Highland, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.