National Provider Identifier
Kenneth Marc Weiner, OD
Kenneth Marc Weiner, OD is listed in the NPPES registry with a primary specialty of Optometrist in Blasdell, NY and a listed phone number of (716) 821-9199.
Profile Overview
- NPI
- 1740336866
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- January 25, 2007
- Last Updated
- July 08, 2007
Practice Location
- 4408 Milestrip RD
- Blasdell, NY 14219
Phone: (716) 821-9199
Mailing Address
- 140 Macomb
- Mt Clemens, MI 48043
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1740336866
- Entity Type
- Individual
- Last Name
- Weiner
- First Name
- Kenneth
- Middle Name
- Marc
- Name Prefix
- Dr.
- Credential
- OD
- Mailing Street Address
- 140 Macomb
- Mailing City
- Mt Clemens
- Mailing State
- MI
- Mailing ZIP Code
- 48043
- Mailing Country
- US
- Mailing Phone
- (586) 468-7370
- Mailing Fax
- (586) 464-1472
- Practice Street Address
- 4408 Milestrip RD
- Practice City
- Blasdell
- Practice State
- NY
- Practice ZIP Code
- 14219
- Practice Country
- US
- Practice Phone
- (716) 821-9199
- Practice Fax
- (716) 821-9456
- Enumeration Date
- January 25, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)