Individual
DR. JOHN ANTHONY WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1090 STATE ROUTE 28, MILFORD, OH 45150-4936
(513) 575-9464
(513) 575-9466
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
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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