Individual
DR. JEFFREY LANCE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2042
OR
152W00000X
Optometrist
4248T125
OH
152W00000X
Optometrist
Primary
OEG003775
PA
152W00000X
Optometrist
T02793
MO
Other
Enumeration date
09/13/2006
Last updated
05/22/2025
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