Individual
DR. BRIAN EDWARD WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
21 E WARD ST, SPRINGFIELD, OH 45504-2203
(937) 325-5045
(937) 717-6905
Mailing address
PO BOX 1326, SPRINGFIELD, OH 45501-1326
(937) 325-5045
(937) 717-6905
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4151
OH
152WC0802X
Corneal and Contact Management Optometrist
4151
OH
152WP0200X
Pediatric Optometrist
4151
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4151
STATE LICENSE NUMBER
OH
Enumeration date
09/25/2006
Last updated
11/03/2014
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