DR. JEFFREY LANCE WEAVER O.D.
NPI 1689779712
Optometrist in Philadelphia, PA

Q: What is Jeffrey Weaver's NPI number?

The NPI number for Jeffrey Weaver is 1689779712. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Q: What is Jeffrey Weaver's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Weaver was last updated on May 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 13, 2006PECOS Enrolled

1200 W GODFREY AVE, PHILADELPHIA, PA 19141(215) 276-6000(215) 276-1329 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 22, 2025, Dec 13, 2023, Aug 9, 2021 and 4 more (7 updates tracked since 2015).

On this page

About Dr. Jeffrey Lance Weaver O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY LANCE WEAVER O.D. (NPI 1689779712) is an individual optometrist in Philadelphia, Pennsylvania, licensed in Pennsylvania (OEG003775) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1689779712

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JEFFREY LANCE WEAVERCredential: O.D.

Location Address1200 W GODFREY AVEPhiladelphia, PA 19141-3323

Mailing Address3662 Bostons Farm DrBridgeton, MO 63044-3167 · (314) 952-2226 · Fax (314) 228-2020

Phone(215) 276-6000

Fax(215) 276-1329

Sole ProprietorNo

Enumeration DateSeptember 13, 2006

Last NPPES UpdateMay 22, 20257 updates tracked since enumeration

NPPES CertifiedMay 22, 2025

✔ NPI 1689779712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in PA · OEG003775✔ Licensed in OH · 4248T125✔ Licensed in MO · T02793✔ Licensed in OR · 2042

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1200 W GODFREY AVE, Philadelphia, PA 19141

Open in Google Maps ↗

Secondary Practice Locations 6

Location 17840 NATURAL BRIDGE BLVD, PATIENT CARE CENTERST LOUIS, MO 63121 · Phone (314) 516-5016 · Fax (314) 516-7701

Location 23662 Bostons Farm DrBridgeton, MO 63044-3167 · Phone (314) 770-1863 · Fax (314) 228-2020

Location 312422 Olive BlvdCreve Coeur, MO 63141-6392 · Phone (314) 579-0909

Location 4118 S Pittsburgh StConnellsville, PA 15425-3531 · Phone (724) 628-3710

Location 5140 N Beeson Ave Ste 403Uniontown, PA 15401-2937 · Phone (724) 439-8170 · Fax (724) 438-2274

Location 61150 7th St Ste 3Waynesburg, PA 15370-1660 · Phone (724) 852-2200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey Lance Weaver O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHITAL V MANI

Optometrist