Individual
DR. SAMUEL L. WEIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000249
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0671590
AETNA
VA
01
—
075587
ANTHEM BCBS
VA
01
—
11230897
UHC
VA
01
—
231169
MAMSI
VA
Enumeration date
04/24/2006
Last updated
05/02/2012
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