Individual
DR. DAVID M WENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2613
NC
152W00000X
Optometrist
27TO00110700
NJ
152W00000X
Optometrist
3283T
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-02549
EVERCARE
—
01
—
2K5747
HEALTHNET
—
01
—
7312177
AETNA
—
01
—
C406C10
EMPIRE
—
01
—
P00318029
RAILROAD MEDICARE
—
Enumeration date
11/02/2006
Last updated
05/15/2020
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