Individual
DANIEL L WEINBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4414 SHELBYVILLE ROAD, SUITE 204, LOUISVILLE, KY 40207
(502) 894-4434
(502) 894-9912
Mailing address
4949 BROWNSBORO RD # 271, LOUISVILLE, KY 40222-6424
(502) 552-0967
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1049DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100020520A
—
IN
05
—
77021798
—
KY
Enumeration date
08/16/2005
Last updated
11/18/2024
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