Weaver, Edward
Weaver, Edward is an individual health care provider with primary practice located at 1205 Floral Pkwy , Wilmington NC 28403-6216. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Weaver, Edward can be contacted via phone (910) 791-6086.Contact Information
Primary practice address
1205 Floral Pkwy
Wilmington NC 28403-6216
Phone: (910) 791-6086
Fax: (910) 392-8087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1234 | North Carolina |
Profile Details
| NPI number | 1346245263 |
|---|---|
| LBN Legal business name | Weaver, Edward |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Aug 20th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346245263 | NPPES |
| North Carolina | MEDICAID | 7909965 | |
| North Carolina | Other | 0250H |
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