Individual
DR. JENNIFER LEE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1150 POLARIS PKWY, COLUMBUS, OH 43240-2024
(614) 433-7357
(614) 847-4138
Mailing address
4760 STONE VIEW CT, POWELL, OH 43065-7966
(740) 881-5373
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5348
OH
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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