| R Joe Weaver Od | |
|
1600 Grand Central Ave, Vienna, WV 26105-1059 | |
| (304) 295-8561 | |
| (304) 295-9164 |
| Full Name | R Joe Weaver Od |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1600 Grand Central Ave, Vienna, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770694390 | NPI | - | NPPES |
| 3810006279 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Lana Mohr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518915347 PECOS PAC ID: 2365546017 Enrollment ID: I20120221000661 |
| Provider Name | Rusty Weaver |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386692770 PECOS PAC ID: 3173627825 Enrollment ID: I20120522000898 |
| Provider Name | Katie Rae-anne Palmer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801374269 PECOS PAC ID: 2961756630 Enrollment ID: I20181115001208 |
| Provider Name | Jessica Fordyce |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689363459 PECOS PAC ID: 7719345297 Enrollment ID: I20230614003491 |
| Mailing Address | Practice Location Address |
|---|---|
| R Joe Weaver Od Po Box 5037, Vienna, WV 26105-5037 Ph: (304) 295-8561 | R Joe Weaver Od 1600 Grand Central Ave, Vienna, WV 26105-1059 Ph: (304) 295-8561 |
Dr. T. Shawn Stephens Optometrist Medicare: Not Enrolled in Medicare Practice Location: 244 Grand Central Mall, Vienna, WV 26101 Phone: 304-485-1199 Fax: 304-428-8102 | |
Dr. Douglas Frederick Ritchie, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1500 Grand Central Ave, Suite 112, Vienna, WV 26105 Phone: 304-295-5025 Fax: 304-295-7178 | |
Susannah Neff, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1500 Grand Central Ave # 112&104, Vienna, WV 26105 Phone: 304-295-5025 | |
Visionary Eye Clinic Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1600 Grand Central Ave, Vienna, WV 26105 Phone: 304-295-8561 | |
Dr. Rusty Joe Weaver, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1600 Grand Central Ave, Vienna, WV 26105 Phone: 304-295-8561 Fax: 304-295-9164 | |
Dr. Lana Marie Mohr, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1600 Grand Central Ave, Vienna, WV 26105 Phone: 304-295-8561 Fax: 304-295-9164 | |
Family Eyedoctors Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1500 Grand Central Ave Ste 112, Vienna, WV 26105 Phone: 304-295-5025 |