Healthcare Provider Details

I. General information

NPI: 1043280829
Provider Name (Legal Business Name): STEVEN J WEARDEN O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 10/08/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

188 MEDICAL PARK DRIVE SUITE C
BREVARD NC
28712-4188
US

IV. Provider business mailing address

188 MEDICAL PARK DRIVE SUITE C
BREVARD NC
28712-4188
US

V. Phone/Fax

Practice location:
  • Phone: 828-884-7320
  • Fax: 828-884-7944
Mailing address:
  • Phone: 828-884-7320
  • Fax: 828-884-7944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1134
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2936
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: