Kenneth John Wich in Ellsworth - Optometrist
Kenneth John Wich - NPI 1861401267
Kenneth John Wich is a Optometrist in Ellsworth, Maine. Kenneth John Wich practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kenneth John Wich is 1861401267. The last update date is 2012-01-18.
Kenneth John Wich's current location address is 82 Water St, Ellsworth, Maine. You can contact this provider via phone number 2076678615 and fax number 2076674212. The mailing address for Kenneth John Wich is 82 Water St, Ellsworth, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth John Wich |
|---|---|
| Address | 82 Water St, Ellsworth, Maine |
| Phone Number | 2076678615 |
| Fax Number | 2076674212 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1861401267 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2012-01-18 |
Provider Mailing Address Detail
| Address | 82 Water St |
|---|---|
| City | Ellsworth |
| State | Maine (ME) |
| Post Code | 46052006 |
| Phone Number | 2076678615 |
| Fax Number | 2076674212 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OPT 793 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 299840099 | ME | -- | |
| 410047012 | ME | RAILROAD MEDICARE | |
| 4835 | ME | BLUE CROSS | |
| 522108187534 | ME | CHAMPUS |
Post Comment/ Review Below
What is the Kenneth John Wich's 1861401267?
The Kenneth John Wich's NPI (National Provider Identifier) Number is 1861401267. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kenneth John Wich's physical address?
The Kenneth John Wich is physically located at 82 Water St, in the city of Ellsworth, ME, with the postal code 46052006.
What is Kenneth John Wich's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kenneth John Wich is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861401267 to Kenneth John Wich?
The Centers for Medicare & Medicaid Services originally issued the 1861401267 to Kenneth John Wich on 2006-08-05.
When was the information related to Kenneth John Wich most recently updated or refreshed?
The details pertaining to the Kenneth John Wich, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-01-18.