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
Fax: (910) 392-8087
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346245263 NPPES
North Carolina MEDICAID 7909965
North Carolina Other 0250H

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