Weinberg, Daniel L

Weinberg, Daniel L is an sole proprietor health care provider with primary practice located at 4414 Shelbyville Road Suite 204, Louisville KY 40207. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Weinberg, Daniel L can be contacted via phone (502) 894-4434.

Contact Information

Primary practice address
4414 Shelbyville Road Suite 204 Louisville KY 40207
Phone: (502) 894-4434
Fax: (502) 894-9912
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1049DT Kentucky

Profile Details

NPI number 1801888946
LBN Legal business name Weinberg, Daniel L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2005
Last updated Sep 10th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801888946 NPPES
Kentucky MEDICAID 77021798
Kentucky MEDICAID 100020520A

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