Organization Active NPI

Dr Kenneth L Weiner

  • Optometrist
  • Canyon Country, CA
National Provider Identifier
1477666303
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4325 Issued in CA
Legal business name
DR KENNETH L WEINER
Doing business as
OPTOMETRY CENTER OF SANTA CLARITA
Practice address
19000 Soledad Canyon Rd
Canyon Country, CA 91351-3362
Phone
(661) 251-1400
Fax
(661) 251-5323
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kenneth Lawrence Weiner, OPTOMETRIST
Title
Owner
Phone
(661) 251-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 4325 CA Primary

Addresses

Primary practice location

19000 Soledad Canyon Rd
Canyon Country, CA 91351-3362

Mailing address

19000 Soledad Canyon Rd
Canyon Country, CA 91351-3362
Phone (661) 251-1400

Other names 1

  • OPTOMETRY CENTER OF SANTA CLARITA Doing business as

National Provider Directory

National Provider Directory

Locations

19000 Soledad Canyon Rd
Santa Clarita, CA 91351
Phone (661) 251-1400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477666303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19000 SOLEDAD CANYON RD",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913513362",
            "telephone_number": "661-251-1400",
            "fax_number": "661-251-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 SOLEDAD CANYON RD",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913513362",
            "telephone_number": "661-251-1400",
            "fax_number": "661-251-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KENNETH L WEINER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-251-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OPTOMETRIST"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "4325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTOMETRY CENTER OF SANTA CLARITA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canyon Country, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.