National Provider Identifier
Brent M Kroening
Brent M Kroening is listed in the NPPES registry with a primary specialty of Optician in North Tonawanda, NY and a listed phone number of (716) 692-5480.
Profile Overview
- NPI
- 1578893665
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- January 12, 2010
- Last Updated
- January 12, 2010
Practice Location
- 968 Payne Ave
- North Tonawanda, NY 14120-3234
Phone: (716) 692-5480
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1578893665
- Entity Type
- Individual
- Last Name
- Kroening
- First Name
- Brent
- Middle Name
- M
- Name Prefix
- Mr.
- Mailing Street Address
- 968 Payne Ave
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-3234
- Mailing Country
- US
- Mailing Phone
- (716) 692-5480
- Mailing Fax
- (716) 692-4010
- Practice Street Address
- 968 Payne Ave
- Practice City
- North Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120-3234
- Practice Country
- US
- Practice Phone
- (716) 692-5480
- Practice Fax
- (716) 692-4010
- Enumeration Date
- January 12, 2010
- Last Updated
- January 12, 2010
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)
- Other Identifiers
- 00639881 (NY)