DR. KENNETH A WEINBERG (NPI# 1740287853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740287853 |
| Entity Type | Individual |
| Full Name | DR. KENNETH A WEINBERG |
| Credential | OD |
| Practice Address |
826 Mount Moriah Rd Memphis TN 38117-5705 |
| Practice Telephone | 9016833232 |
| Mailing Telephone | 9016833232 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2014-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 749 | TN | Eye and Vision Services Providers |
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
749 | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | PTAN: 103I411068 | 103I411068 | 01 |
| TN | PTAN | 103I411068 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942586797 | Kenneth Charles Weinberg | Counselor | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2011-10-25 |
| 1003841164 | Kenneth Weinberg | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-07-11 |
| 1922069574 | Kenneth Weinberg | Internal Medicine | 25 N Winfield Rd, Ste 300, Winfield, IL 60190 | 2006-03-31 |
| 1033119094 | Kenneth Weinberg | Emergency Medicine | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2005-07-29 |
| Street Address |
826 MOUNT MORIAH RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38117-5705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588820393 | Optical Outlet, Inc | Eyewear Supplier (Equipment, not the service) | 826 Mount Moriah Rd, Memphis, TN 38117-5705 | 2008-07-31 |
| 1609032614 | Dr. Kenneth A. Weinberg & Assoc P.a. | Optometrist | 826 Mount Moriah Rd, Memphis, TN 38117-5705 | 2008-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
| 1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
| 1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
| 1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
| 1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
| 1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
| 1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
| 1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
| Find all providers in zip 38117 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710920475 | Ultra Eyecare | Optometrist | 3460 Plaza Ave, Memphis, TN 38111-4614 | 2006-06-13 |
| 1386693117 | Cathy Lynn Braswell | Optometrist | 6479 Winchester Rd, Memphis, TN 38115-4257 | 2006-05-09 |
| 1407859853 | John T Lee | Optometrist | 5118 Park Ave, Ste 101, Memphis, TN 38117-5710 | 2005-05-31 |
| 1184100935 | Yueren Wang | Optometrist | 1245 Madison Ave, Memphis, TN 38104-2211 | 2018-07-16 |
| 1609032614 | Dr. Kenneth A. Weinberg & Assoc P.a. | Optometrist | 826 Mount Moriah Rd, Memphis, TN 38117-5705 | 2008-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548302854 | Donelson Eyecare, Pllc | Optometrist | 2378 Lebanon Pike, Nashville, TN 37214-2411 | 2007-02-13 |
| 1790823201 | Mary K Conway | Optometrist | 7600 H Kingston Pike, Knoxville, TN 37919-5604 | 2007-02-05 |
| 1538215777 | Kevin Lee Johnson | Optometrist | 2021 Church St Ste 300, Baptist Hospital, Medical Plaza 2, Nashville, TN 37203-2051 | 2007-01-27 |
| 1114085701 | Drs. Shields and Shields | Optometrist | 10219 Kingston Pike, Ste 101, Knoxville, TN 37922-3222 | 2006-12-05 |
| 1841381118 | Warwick C Dell | Optometrist | 8151 Hixson Pike, Hixson, TN 37343-1801 | 2006-09-28 |
| 1710991872 | Steven R. Shum | Optometrist | 2109 West St, Suite 1, Germantown, TN 38138-3837 | 2006-07-27 |
| 1831124353 | Tom Kevin Flowers | Optometrist | 189 W University Pkwy Ste D, Jackson, TN 38305-1671 | 2006-07-12 |
| 1609806637 | Lina M Desai | Optometrist | 11232 W Point Dr, Suite A, Knoxville, TN 37934-2837 | 2006-07-04 |
| 1558306043 | Turner Vision of Tennessee, Psc | Optometrist | 3051 Kinzel Way, Knoxville, TN 37924-2190 | 2006-06-18 |
| 1235199985 | Brian Bruce Dubes | Optometrist | 2542 N Main St, Suite 1, Crossville, TN 38555-8756 | 2006-03-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.