{"npi":"1689779712","type":"NPI-1","status":"active","name":{"display":"Dr. Jeffrey Weaver O.D.","other":[],"first":"JEFFREY","last":"WEAVER","middle":"LANCE","credential":"O.D."},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":false,"state":"OH","license":"4248T125"},{"code":"152W00000X","description":"Optometrist","primary":true,"state":"PA","license":"OEG003775"},{"code":"152W00000X","description":"Optometrist","primary":false,"state":"MO","license":"T02793"},{"code":"152W00000X","description":"Optometrist","primary":false,"state":"OR","license":"2042"}]},"addresses":[{"purpose":"LOCATION","street_1":"1200 W GODFREY AVE","city":"PHILADELPHIA","state":"PA","postal_code":"191413323","country_code":"US","phone":"2152766000","fax":"2152761329"},{"purpose":"MAILING","street_1":"3662 BOSTONS FARM DR","city":"BRIDGETON","state":"MO","postal_code":"630443167","country_code":"US","phone":"3149522226","fax":"3142282020"}],"license":{"state":"PA","number":"OEG003775"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110823000318","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"MO","pac_id":"5496786881"},{"enrlmt_id":"I20210602001644","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"PA","pac_id":"5496786881"}]},"enumeration_date":"2006-09-13","last_updated":"2025-05-22","_meta":{"source":"NPPES","snapshot_date":"2025-05-22","doc_url":"https://findmynpi.com/api"}}