Individual
DR. JOSEPH D WEATHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT2430
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3329158
AETNA
TN
01
—
3505772
AETNA
TN
05
—
3945856
—
TN
01
—
4066484
BCBS
TN
01
—
4066512
BCBS
TN
01
—
4082435
BCBS
TN
01
—
4092400
BCBS
TN
01
—
7668469
AETNA
TN
01
—
921647
BLOCK
TN
01
—
TN2430
EYEMED
TN
Enumeration date
10/27/2005
Last updated
12/22/2010
Update your record
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