Organization
SAMUEL L. WEIR, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL L WEIR O.D. (OPTOMETRIST)
(540) 347-0555
Entity
Organization
Contact information
Practice address
528 WATERLOO RD, WARRENTON, VA 20186-3011
(540) 347-0555
(540) 347-9198
Mailing address
528 WATERLOO RD, WARRENTON, VA 20186-3011
(540) 347-0555
(540) 347-9198
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618000249
VA
152W00000X
Optometrist
Primary
0618001510
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0671590
SAMUEL WEIR AETNA
VA
01
—
075587
SAMUEL WEIR ANTHEM
VA
01
—
11230897
SAMUEL WEIR UHC
VA
01
—
11505363
SHANNON COLBOURNE UHC
VA
01
—
1619933280
SAMUEL WEIR NPI
VA
01
—
1629280946
GROUP NPI NUMBER
VA
01
—
1689630246
SHANNON COLBOURNE NPI
VA
01
—
187369
SHANNON COLBOURNE ANTHEM
VA
01
—
2140911
SHANNON COLBOURNE MAMSI
VA
01
—
231169
SAMUEL WEIR MAMSI
VA
01
—
3991583
SHANNON COLBOURNE AETNA
VA
01
—
7304730
AETNA GROUP NUMBER
VA
01
—
C09621
MEDICARE GROUP NUMBER
VA
Enumeration date
05/07/2007
Last updated
03/12/2008
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