Weaver, Joey Matthew
Weaver, Joey Matthew is an sole proprietor health care provider with primary practice located at 900 Grand Central Ave Suite C, Vienna WV 26105-2147. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Weaver, Joey Matthew can be contacted via phone (304) 699-4540.Contact Information
Primary practice address
900 Grand Central Ave Suite C
Vienna WV 26105-2147
Phone: (304) 699-4540
Fax: (304) 295-7822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 883-OD | West Virginia |
Profile Details
| NPI number | 1760414312 |
|---|---|
| LBN Legal business name | Weaver, Joey Matthew |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Apr 11th, 2024 - about last year |
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 | 1760414312 | NPPES |
| West Virginia | MEDICAID | 0149600000 |
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