Provider Demographics
NPI:1891775797
Name:WESTON, DEBORAH C (OD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:C
Last Name:WESTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1673 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3663
Mailing Address - Country:US
Mailing Address - Phone:954-384-0266
Mailing Address - Fax:954-384-0214
Practice Address - Street 1:1673 MARKET ST
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3663
Practice Address - Country:US
Practice Address - Phone:954-384-0266
Practice Address - Fax:954-384-0214
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3315152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist