Individual
DR. JOHN ANTHONY WIENER
Active
Individual
DR. JOHN ANTHONY WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.004061
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92734892
MEDICARE, UNSPECIFIED
OH
01
—
WI0734892
MEDICARE
OH
Enumeration date
11/30/2006
Last updated
02/08/2022
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