Provider Demographics
NPI:1083686943
Name:KUENY, TIMOTHY SIEG (OD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:SIEG
Last Name:KUENY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4253 LESLIE DR
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-6104
Mailing Address - Country:US
Mailing Address - Phone:215-340-7995
Mailing Address - Fax:
Practice Address - Street 1:1432 EASTON RD
Practice Address - Street 2:SUITE 3E
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-2852
Practice Address - Country:US
Practice Address - Phone:215-491-6000
Practice Address - Fax:215-491-6040
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001648152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1014502800001Medicaid
PAU57420Medicare UPIN
091409T98Medicare ID - Type Unspecified