Individual provider · Type 1 NPI

Jeffrey Lance Weaver, OD

Optometrist · Philadelphia, PA

NPI number 1689779712 Active

Practice location

1200 W Godfrey Ave
Philadelphia, PA 19141-3323

Fax (215) 276-1329

Mailing address

3662 Bostons Farm Dr
Bridgeton, MO 63044-3167

Other practice locations

  • 7840 Natural Bridge Blvd, Patient Care Center, St. Louis, MO 63121 · (314) 516-5016
  • 3662 Bostons Farm Dr, Bridgeton, MO 63044-3167 · (314) 770-1863
  • 118 S Pittsburgh St, Connellsville, PA 15425-3531 · (724) 628-3710
  • 12422 Olive Blvd, Creve Coeur, MO 63141-6392 · (314) 579-0909
  • 140 N Beeson Ave Ste 403, Uniontown, PA 15401-2937 · (724) 439-8170
  • 1150 7th St Ste 3, Waynesburg, PA 15370-1660 · (724) 852-2200

Specialties and licenses

TaxonomyCodeLicense
Optometrist 152W00000X4248T125 (OH)
Optometrist Primary 152W00000XOEG003775 (PA)
Optometrist 152W00000XT02793 (MO)
Optometrist 152W00000X2042 (OR)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1689779712

Jeffrey Lance Weaver, OD's National Provider Identifier is 1689779712, issued on Sep 13, 2006. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Philadelphia, PA. The record was last updated on May 22, 2025.