- Practice location
- 82 Water St, Ellsworth, ME 04605-2006
- Phone
- 207-667-8615
- Fax
- 207-667-4212
- Last updated
- January 18, 2012
Kenneth John Wich is an Optometrist based in Ellsworth, ME. Kenneth John Wich practices in Ellsworth, ME and has the professional credentials of OD. The NPI Number for Kenneth John Wich is 1861401267 and holds a License No. OPT 793 (ME). The current practice location address for Kenneth John Wich is 82 Water St, Ellsworth, ME 04605-2006 and can be reached out via phone at 207-667-8615 and via fax at 207-667-4212.
Provider Profile Details
- NPI Number
- 1861401267
- Provider Name
- Kenneth John Wich
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 82 Water St, Ellsworth, ME 04605-2006
- Phone Number
- 207-667-8615
- Fax Number
- 207-667-4212
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 5, 2006
- Last Update Date
- January 18, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 82 Water St
Ellsworth, ME 04605-2006 - City
- Ellsworth
- State
- Maine
- Zip
- 04605-2006
- Phone Number
- 207-667-8615
- Fax Number
- 207-667-4212
Provider Business Mailing Address Details
- Address
- 82 Water St
Ellsworth, ME 04605-2006 - City
- Ellsworth
- State
- ME
- Zip
- 04605-2006
- Phone Number
- 207-667-8615
- Fax Number
- 207-667-4212
License Information
- License Number
- OPT 793
- License State
- ME
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Ellsworth, ME
View all Optometrists in Ellsworth →Frequently Asked Questions
What is the NPI number of Dr. Kenneth J Wich, OD?
The NPI number of Dr. Kenneth J Wich, OD is 1861401267. It was assigned on August 5, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Kenneth J Wich, OD?
Dr. Kenneth J Wich, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in ME under license number OPT 793.
Where does Dr. Kenneth J Wich, OD practice?
The practice location is 82 Water St, Ellsworth, ME 04605-2006. The office can be reached at 207-667-8615 (phone) or 207-667-4212 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861401267 directly on the NPPES registry website.