Individual
DR. JUSTIN EVERETT WEIGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
11148 S LONE ELM RD, OLATHE, KS 66061-9434
(913) 390-6700
(913) 390-6705
Mailing address
11148 S LONE ELM RD, OLATHE, KS 66061-9434
(913) 390-6700
(913) 390-6705
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1794
KS
152WC0802X
Corneal and Contact Management Optometrist
1794
KS
152WP0200X
Pediatric Optometrist
1794
KS
Other
Enumeration date
08/13/2007
Last updated
01/28/2015
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