Individual
DR. AARON MARK WIENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1360 E HERNDON AVE, SUITE401, FRESNO, CA 93720-3326
(559) 449-5010
(559) 449-5014
Mailing address
1360 E HERNDON AVE, SUITE401, FRESNO, CA 93720-3326
(559) 449-5010
(559) 449-5014
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13232
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598879553
—
CA
01
—
ZZZ13463Z
MEDICARE GROUP PTAN
CA
01
—
ZZZ13844Z
MEDICARE GROUP PTAN
CA
01
—
ZZZ13845Z
MEDICARE GROUP PTAN
—
01
—
ZZZ13882Z
MEDICARE GROUP PTAN
CA
01
—
ZZZ13883Z
MEDICARE GROUP PTAN
CA
Enumeration date
08/18/2006
Last updated
07/17/2008
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