DR. BRUCE DAVID WEAVER O.D.
NPI 1720149941
Optometrist in Phoenix, AZ

Q: What is Bruce Weaver's NPI number?

The NPI number for Bruce Weaver is 1720149941. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Q: What is Bruce 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 Bruce Weaver was last updated on April 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment

4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1200 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 17, 2019, Feb 9, 2016 (2 updates tracked since 2016).

On this page

About Dr. Bruce David Weaver O.d. NPPES

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

DR. BRUCE DAVID WEAVER O.D. (NPI 1720149941) is an individual optometrist in Phoenix, Arizona, licensed in Maryland (TA0932) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Whiteriver, and is a graduate of University Of Houston - College Of Optometry (1985).

NPPES Registry Identity

NPI1720149941

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. BRUCE DAVID WEAVERCredential: O.D.

Location Address4212 N 16TH STPhoenix, AZ 85016

Mailing AddressPo Box 31001-0698Pasadena, CA 91110-0698 · (602) 263-1200

Phone(602) 263-1200

Sole ProprietorNo

Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1985

Enumeration DateDecember 12, 2006

Last NPPES UpdateApril 17, 20192 updates tracked since enumeration

✔ NPI 1720149941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MD · TA0932

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.

4212 N 16TH ST, Phoenix, AZ 85016

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Secondary Practice Location 1

Location 1200 W Hospital DrWhiteriver, AZ 85941-0860 · Phone (928) 338-4911

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bruce David Weaver O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608099353

PECOS Enrollment IDI20140527000912

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.

Medicare Billing Reassignments

Medicare enrollment records show Bruce Weaver reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm

Same address

Public Health or Welfare

4212 N 16TH ST
Phoenix, AZ 85016

Reassigned Medicare billing, Texas enrollment
599 clinicians in this Medicare group

NPI 1083643738 (602) 263-1200

Dhhs Phs Ihs Phoenix Area

158 mi

Clinic/Center

401 PICACHO ROAD
Winterhaven, CA 92283

Reassigned Medicare billing, Texas enrollment
59 clinicians in this Medicare group

NPI 1265719918 (760) 572-4100

Dhhs Ihs Phoenix Area

184 mi

Critical Access

HIGHWAY 264 MILEPOST 388
Polacca, AZ 86042

Reassigned Medicare billing, Texas enrollment
199 clinicians in this Medicare group

NPI 1356628028 (928) 737-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

32 services30 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

24 services24 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

15 services15 patients

New patient problem focused exam of visual system 92002

A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

WENDY RAZO

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