Individual
JENNIFER LYN WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICIAN
Contact information
Practice address
5033 TRANSIT RD, WILLIAMSVILLE, NY 14221-4132
(716) 565-0261
(716) 565-0264
Mailing address
5033 TRANSIT RD, WILLIAMSVILLE, NY 14221-4132
(716) 565-0261
(716) 565-0264
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
010096
NY
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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