Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. OTIS WEAVER, LICENSED OPTICIAN
Active Sole ProprietorMR. OTIS WEAVER, LICENSED OPTICIAN is a Optician, Dispensing healthcare provider located in DECATUR, Georgia. NPI 1801292016 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · DECATUR, GA
Registration Details
- NPI Number
- 1801292016
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2014 (11.700627304478 yrs)
- Last Updated
- Nov 16, 2014
- License
-
LDO001204 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4765 MEMORIAL DRDECATUR, GA, 300321417Browse GA providers · Browse ZIP 30032
- Phone
- 4042962307
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in DECATUR, GA
| Name | Credential | NPI |
|---|---|---|
| MR. DAN MARTIN SMYLY | OPTICIAN | 1801916812 |
| JOHN MARSH | — | 1548489156 |
| MR. LUIS FELIPE ROMAN | DO | 1952634206 |
| CHANDRA NOWELS | — | 1942874854 |
| LANARD ATKINS | LDO, ABOC, NCLEC | 1417647801 |
| ALEXSIS TRIPP | — | 1467137216 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.