Weber, Brian Edward
Weber, Brian Edward is an sole proprietor health care provider with primary practice located at 21 E Ward St , Springfield OH 45504-2203. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Weber, Brian Edward can be contacted via phone (937) 325-5045.Contact Information
Primary practice address
21 E Ward St
Springfield OH 45504-2203
Phone: (937) 325-5045
Fax: (937) 717-6905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4151 | Ohio |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 4151 | Ohio |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 4151 | Ohio |
Profile Details
| NPI number | 1568563484 |
|---|---|
| LBN Legal business name | Weber, Brian Edward |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Nov 3rd, 2014 - about 11 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 | 1568563484 | NPPES |
| Ohio | Other | 4151 | STATE LICENSE NUMBER |
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