PROF. BRIAN JOSEPH WEAVER (NPI# 1568565349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568565349 |
| Entity Type | Individual |
| Full Name | PROF. BRIAN JOSEPH WEAVER |
| Credential | O.D., M.B.A. |
| Practice Address |
4419 N Sheffield Ave Shorewood WI 53211-1307 |
| Mailing Address |
17275 Morningview Ct Brookfield WI 53045-4358 |
| Practice Telephone | 2623918112 |
| Mailing Telephone | 2623918833 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2012-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2800 | WI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38630700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295924801 | Brian Wise Weaver | Radiology | 1355 Heatherland Dr Sw, Atlanta, GA 30331-7460 | 2007-10-19 |
| 1861680753 | Brian Weaver | Pharmacist | 1139 Addison Ave E, Twin Falls, ID 83301-5224 | 2007-10-05 |
| 1437352655 | Brian Todd Weaver | Chiropractor | 60 E Foothill Blvd, Suite A, Upland, CA 91786-3984 | 2007-06-06 |
| 1679569529 | Brian H Weaver | Optometrist | 640 Shrewsbury Commons Ave, Shrewsbury, PA 17361-1617 | 2005-09-26 |
| 1033231238 | Brian Christopher Weaver | Dentist | 627 Office Pkwy, Suite B, Westerville, OH 43082-7988 | 2007-04-06 |
| 1104988328 | Brian Shanklin Weaver | Anesthesiology | 814 Kempsville Rd, Suite 104, Norfolk, VA 23502-4001 | 2006-12-14 |
| 1508960923 | Brian W. Weaver | Emergency Medicine | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2006-09-08 |
| 1366498586 | Brian D Weaver | Radiology | 9825 Kenwood Rd, Suite 105, Blue Ash, OH 45242-6251 | 2006-05-26 |
| Street Address |
4419 N SHEFFIELD AVE |
| City | SHOREWOOD |
| State | WI |
| Zip Code | 53211-1307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| Find all providers in zip 53211 | ||||
| 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 |
|---|---|---|---|---|
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1104471572 | Juwaria Din | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211-2027 | 2019-08-02 |
| 1669984563 | Margarette Elaine J Alcesto | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211-2027 | 2017-10-31 |
| 1326456377 | Anna Koeck | Optometrist | 4000 N Oakland Ave, Shorewood, WI 53211-2355 | 2014-07-22 |
| 1285999516 | Elizabeth Roginski | Optometrist | 4000 N Oakland Ave, Shorewood, WI 53211-2355 | 2012-07-12 |
| 1154699445 | Visionworks, Inc. | Optometrist | 4000 N Oakland Ave, Shorewood, WI 53211-2355 | 2011-12-01 |
| 1508174947 | Kuhar Vision Care PC | Optometrist | 932 Brook Forest Ave, Shorewood, IL 60404-8807 | 2010-09-20 |
| 1821153859 | Jeffery Jensen | Optometrist | 4000 N Oakland Ave, Shorewood, WI 53211-2355 | 2006-12-27 |
| 1699788158 | John A. Propati | Optometrist | 1401 Il Route 59, Shorewood, IL 60431-8209 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939288 | Myeyedr Optometry of Wisconsin, LLC | Optometrist | 2505 N Mayfair Rd Ste 100, Wauwatosa, WI 53226-1404 | 2020-07-15 |
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1891311775 | Elizabeth Carman Somers | Optometrist | 3621 Market Ln, Kenosha, WI 53144-1553 | 2020-06-17 |
| 1760008619 | Melanie Nielsen | Optometrist | S73w16437 Janesville Rd, Muskego, WI 53150-9723 | 2020-06-16 |
| 1487278479 | Alyssa Chrisman | Optometrist | 2910 Roosevelt Rd # D1, Marinette, WI 54143-5108 | 2020-06-04 |
| 1043859341 | Site 4 Eyes | Optometrist | 7245 S 76th St, Franklin, WI 53132-9041 | 2020-01-03 |
| 1932745163 | Mauston Family Eyecare, LLC | Optometrist | 205 Division St Ste A, Mauston, WI 53948-2110 | 2019-11-22 |
| 1114562345 | Dr Christopher D Smith & Associates LLC | Optometrist | 2665 Monroe Rd Ste 100, De Pere, WI 54115-9287 | 2019-11-12 |
| 1013564111 | Ayman Tabani | Optometrist | 9160 76th St Unit C, Kenosha, WI 53158-1945 | 2019-08-22 |
| 1104473537 | Espy Specs Sc | Optometrist | 2720 Golf Rd, Eau Claire, WI 54701-8011 | 2019-08-21 |
| Find all providers with the same taxonomy | ||||
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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.