Provider Demographics
NPI:1386772606
Name:WESTON, JAMES DAVID (OD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DAVID
Last Name:WESTON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2300 DIXWELL AVE
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06514-2108
Mailing Address - Country:US
Mailing Address - Phone:203-248-3937
Mailing Address - Fax:203-288-5679
Practice Address - Street 1:2300 DIXWELL AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06514-2108
Practice Address - Country:US
Practice Address - Phone:203-248-3937
Practice Address - Fax:203-288-5679
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000973152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT761400OtherCONNECTICARE ID
CT1951OtherHEALTHNET ID NUMBER
CT002207762003OtherUNITED HEALTHCARE ID
CTP693803OtherOXFORD HEALTH PLAN ID
CT090000973CTOtherANTHEM ID
CT0614004920003OtherCIGNA ID
CT090000973CTOtherANTHEM ID
CTP693803OtherOXFORD HEALTH PLAN ID