Organization
STEVEN J. WEAVER, O.D. LLC
Active
Other names
Alpine Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN J. WEAVER O.D. (OPTOMETRIST)
(802) 756-7150
Entity
Organization
Contact information
Practice address
11038 HIGHLAND BLVD, #300, HIGHLAND, UT 84003-3785
(801) 756-7150
(801) 642-0938
Mailing address
11038 HIGHLAND BLVD, #300, HIGHLAND, UT 84003-3785
(801) 756-7150
(801) 642-0938
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
328345-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
519172164001
—
UT
05
—
519172164003
—
UT
05
—
519172164004
—
UT
Enumeration date
03/08/2007
Last updated
07/29/2009
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