Kenneth A Weinberg, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

749 Issued in TN

Practice address

826 Mount Moriah Rd
Memphis, TN 38117-5705

Phone

(901) 683-3232

NPI assigned

Jul 5, 2005

Last updated

Oct 22, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optical Outlet, Inc

  dba Optical Outlet

  • Eyewear Supplier
  • Memphis, TN
  • NPI 1588820393
  NPD Authorized official
• Dr. Kenneth a. Weinberg & Assoc P.a.

  dba Dr. Kenneth A. Weinberg

  • Corneal and Contact Management Optometrist
  • Memphis, TN
  • NPI 1609032614
  Authorized official Same address or phone

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1740287853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 MOUNT MORIAH RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381175705",
            "telephone_number": "901-683-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 MOUNT MORIAH RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381175705",
            "telephone_number": "901-683-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "KENNETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "749",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TN",
            "license": "749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "103I411068",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN: 103I411068",
            "identifier": "103I411068",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert William Wegner, M.D.
• Kelcie Wehrum
• Ellen Wei
• Stephanie Louise Weightman, PHARMD
• Kathleen B Weiman, CRNA
• Michael D. Weinberg, O.D.
• Sarah Cain Weinburger
• John Charles Weinlein IV, MD
• Rebecca Weinman-Crouch, LCSW
• Joseph Seth Weinstein, MD

• Corneal and Contact Management Optometrist in Memphis, TN
• Providers in Memphis, TN by specialty
• Corneal and Contact Management Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.