NPIMap

Organization Active NPI

Steven J. Weaver, O.D. LLC

  • Optometrist
  • Highland, UT
National Provider Identifier
1801927140
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
328345-9934 Issued in UT
Legal business name
STEVEN J. WEAVER, O.D. LLC
Practice address
11038 Highland Blvd
#300
Highland, UT 84003-3785
Phone
(801) 756-7150
Fax
(801) 642-0938
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 328345-9934 UT Primary

Addresses

Primary practice location

11038 Highland Blvd
#300
Highland, UT 84003-3785

Mailing address

11038 Highland Blvd
#300
Highland, UT 84003-3785
Phone (801) 756-7150

Other identifiers 3

IdentifierTypeStateIssuer
519172164003MedicaidUT
519172164004MedicaidUT
519172164001MedicaidUT

Other names 1

  • Alpine Vision Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519172164003",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519172164004",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519172164001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland, UT

Sources for this page

  • 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.