DR. JEFFREY LANCE WEAVER (NPI# 1689779712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689779712 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY LANCE WEAVER |
| Credential | O.D. |
| Practice Address |
12422 Olive Blvd Creve Coeur MO 63141-6392 |
| Mailing Address |
3662 Bostons Farm Dr Bridgeton MO 63044-3167 |
| Practice Telephone | 3145790909 |
| Mailing Telephone | 3147701863 |
| Mailing Fax Number | 3142282020 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2019-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 2042 | OR | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 4248T125 | OH | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | T02793 | MO | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7840 Natural Bridge Blvd, Patient Care Center, St Louis, MO 63121 | 3145165016 | 3145167701 |
| 3662 Bostons Farm Dr, Bridgeton, MO 630443167 | 3147701863 | 3142282020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346490224 | Jeffrey R Weaver | Anesthesiology | 95 Riverdale Cr, Verdi, NV 89439-0000 | 2008-09-26 |
| 1801949334 | Jeffrey David Weaver | Dentist | 25 Innovation Dr, Greenville, SC 29607-5252 | 2007-01-19 |
| 1780774000 | Jeffrey Jay Weaver | Counselor | 731 E Main St Ste 13, Jackson, OH 45640-2100 | 2006-10-15 |
| 1265497945 | Jeffrey Allen Weaver | Family Medicine | 13218 Trentwood, San Antonio, TX 78231-2256 | 2006-04-18 |
| 1881216471 | Jeffrey Jerome Weaver | Nurse Practitioner | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-05-18 |
| 1306005897 | Jeffrey Lee Weaver | Physician Assistant | 725 W Lombard St, Suite 163 B, Baltimore, MD 21201-1009 | 2008-06-09 |
| 1083660930 | Jeffrey Donovan Weaver | Emergency Medicine | 1 Saint Joseph Dr, Lexington, KY 40504-3742 | 2006-05-25 |
| 1023071990 | Jeffrey J Weaver | Physician Assistant | 126 E Church St, Suite 2100, Somerset, PA 15501-2271 | 2006-04-10 |
| 1457344640 | Jeffrey G Weaver | Dermatology | 2790 Mosside Blvd, Suite 105, Monroeville, PA 15146-2743 | 2005-08-24 |
| Street Address |
12422 OLIVE BLVD |
| City | CREVE COEUR |
| State | MO |
| Zip Code | 63141-6392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588662746 | Judith Lynn Miles | Optometrist | 12422 Olive Blvd, Creve Coeur, MO 63141-6392 | 2005-07-12 |
| 1285252262 | George Joseph Dowdy | Optometrist | 12422 Olive Blvd, Creve Coeur, MO 63141-6392 | 2020-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407871296 | Sean P Mulqueeny | Optometrist | 612 N New Ballas Road, Creve Coeur, MO 63141-6714 | 2006-07-13 |
| 1366411969 | Matthew J. Woodyard | Optometrist | 11477 Olive Blvd, Creve Coeur, MO 63141-7108 | 2006-03-16 |
| 1588662746 | Judith Lynn Miles | Optometrist | 12422 Olive Blvd, Creve Coeur, MO 63141-6392 | 2005-07-12 |
| 1093711137 | Todd E Bellamy | Optometrist | 11433 Olive Blvd, Creve Coeur, MO 63141-7108 | 2005-06-23 |
| 1285252262 | George Joseph Dowdy | Optometrist | 12422 Olive Blvd, Creve Coeur, MO 63141-6392 | 2020-07-07 |
| 1093232456 | Cailyn Christine Katsev | Optometrist | 11433 Olive Blvd, Creve Coeur, MO 63141-7108 | 2017-08-26 |
| 1306378450 | Senija Turan | Optometrist | 11433 Olive Blvd, Creve Coeur, MO 63141-7108 | 2017-03-29 |
| 1437488400 | Nancy Ketring Kennedy | Optometrist | 633 Emerson Rd, Creve Coeur, MO 63141-6739 | 2009-12-21 |
| 1104007855 | Clarkson Optometry Inc | Optometrist | 11433 Olive Blvd, Creve Coeur, MO 63141-7108 | 2007-11-23 |
| 1033306709 | Aaron Michael Brewer | Optometrist | 11433 Olive Blvd, Creve Coeur, MO 63141-7108 | 2007-09-26 |
| Find all providers in CREVE COEUR | ||||
| City | CREVE COEUR |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on DR. JEFFREY LANCE WEAVER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.