Organization
WEAVER EYE CARE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDON JON WEAVER O.D. (PRESIDENT)
(610) 488-5315
Entity
Organization
Contact information
Practice address
7185 BERNVILLE RD, SUITE B, BERNVILLE, PA 19506-8624
(610) 488-5315
(610) 488-5296
Mailing address
7185 BERNVILLE RD, SUITE B, BERNVILLE, PA 19506-8624
(610) 488-5315
(610) 488-5296
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001233
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207044
MEDICARE PTAN
PA
01
—
3234646
UNITED HEALTHCARE
PA
01
—
3804266000
INDEPENDENCE BLUE CROSS
PA
01
—
9784584
AETNA
PA
Enumeration date
08/13/2010
Last updated
06/06/2011
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