JOHN F. WEAVER (NPI# 1134208010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134208010 |
| Entity Type | Individual |
| Full Name | JOHN F. WEAVER |
| Credential | OD |
| Practice Address |
205 Valley Ave West Bend WI 53095-5312 |
| Mailing Address |
3003 W Good Hope Rd Milwaukee WI 53209-2042 |
| Practice Telephone | 2623381123 |
| Mailing Telephone | 4143523100 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2012-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2573 | WI | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568833382 | John Kenneth Weaver | Dentist | 1636 Nicholasville Rd Ste 7, Lexington, KY 40503-1432 | 2015-10-20 |
| 1912319427 | John Weaver | Family Medicine | 2821 E President George Bush Hwy Ste 404, Richardson, TX 75082 | 2014-06-02 |
| 1497046148 | John D Weaver | Social Worker | 4635 Hillview Dr, Nazareth, PA 18064-8531 | 2011-04-29 |
| 1518104595 | John Earle Weaver | General Practice | 1760 Wilshire Dr, Aptos, CA 95003-2836 | 2009-01-14 |
| 1952523235 | John K Weaver | Dentist | 35 Professional Dr, Brunswick, GA 31520-3773 | 2007-05-03 |
| 1669518577 | John Weaver | Dentist | 2797 Campbellton Rd Sw, Suite A-4, Atlanta, GA 30311-4455 | 2007-01-29 |
| 1780730366 | John S Weaver | Surgery | 4600 Hale Pkwy Ste 340, Denver, CO 80220-4000 | 2007-01-26 |
| 1508933946 | John S Weaver | Dentist | 3641 Ensign Rd Ne Ste 6a, Olympia, WA 98506-5046 | 2006-11-29 |
| 1326128521 | John Mark Weaver | Dentist | 2000 N Grandview Ave, Odessa, TX 79761 | 2006-10-16 |
| 1114946191 | John C. Weaver Jr. | Internal Medicine | 1035 S Prairie Ave Ste 1, Inglewood, CA 90301-5273 | 2006-07-19 |
| Street Address |
205 VALLEY AVE |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225006695 | Angela M Sweeney | Nurse Practitioner | 205 Valley Ave, West Bend, WI 53095-5312 | 2006-03-10 |
| 1619328622 | Deirdre Tobin | Registered Nurse | 205 Valley Ave, West Bend, WI 53095-5312 | 2016-06-30 |
| 1447644745 | Raheel Mody | Family Medicine | 205 Valley Ave, West Bend, WI 53095 | 2015-03-24 |
| 1346593266 | Warren W Samplaski | Pharmacist | 205 Valley Ave, West Bend, WI 53095-5312 | 2012-10-16 |
| 1841598364 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 205 Valley Ave, West Bend, WI 53095-5312 | 2011-03-08 |
| 1356665236 | Nausheen Abbas | Ophthalmology | 205 Valley Ave, West Bend, WI 53095-5312 | 2010-03-20 |
| 1245404771 | Vaishali Zala | Dietitian, Registered | 205 Valley Ave, West Bend, WI 53095-5312 | 2008-04-16 |
| 1588838049 | Jennifer Hagel | Counselor | 205 Valley Ave, West Bend, WI 53095-5312 | 2008-04-16 |
| 1417132069 | Sandra A Stockhausen | Registered Nurse | 205 Valley Ave, West Bend, WI 53095-5312 | 2008-01-02 |
| 1982888400 | Lenore Elizabeth Brahm | Family Medicine | 205 Valley Ave, West Bend, WI 53095-5312 | 2007-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
| 1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
| 1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| Find all providers in zip 53095 | ||||
| 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 |
|---|---|---|---|---|
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1023138922 | West Bend Optical, Inc | Optometrist | 3720 W. Washington St., West Bend, WI 53095-8406 | 2007-04-02 |
| 1043387467 | Jerry Alan Olson | Optometrist | 3720 W. Washington Street, West Bend, WI 53095 | 2006-11-29 |
| 1811980568 | Mark R Meuler | Optometrist | 1700 W Paradise Dr, West Bend, WI 53095-9795 | 2005-08-29 |
| 1508242256 | Advanced Focus Eyecare LLC | Optometrist | 1116 N Main St, West Bend, WI 53090-1923 | 2015-08-05 |
| 1730593310 | Lisa La Susa | Optometrist | 1437 S Main St, West Bend, WI 53095-4931 | 2014-06-11 |
| 1902238116 | Poj-laim Hu Xiong | Optometrist | 1437 S Main St, West Bend, WI 53095-4931 | 2013-07-30 |
| 1801150552 | Michael J Bardenwerper | Optometrist | 1116 N Main St, West Bend, WI 53090-1923 | 2012-06-27 |
| 1649335662 | William Dick | Optometrist | 1437 S Main St, West Bend, WI 53095-4931 | 2006-12-27 |
| 1831271667 | William H Molin | Optometrist | 1700 W Paradise Dr, West Bend, WI 53095-9795 | 2006-10-20 |
| Find all providers in WEST BEND | ||||
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| 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.