DR. Kenneth Patrick Wenthen III, O.D.

NPI #1033592803 in Bay Shore, New York

Provider Information

NPI Number: 1033592803
Entity Type: Individual
Name: DR. Kenneth Patrick Wenthen III, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 29, 2015
Last Updated: Jun 29, 2015

Practice Location

Address: 1701 SUNRISE HWY
Address 2: UNIT FSU4
City: Bay Shore
State: New York
ZIP Code: 11706-6091
Phone: (631) 665-6309

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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