Provider Demographics
NPI:1538475488
Name:WENZEL, BARBARA SPHONEUER (OD)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:SPHONEUER
Last Name:WENZEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20525 SW 53RD MNR
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33332-1500
Mailing Address - Country:US
Mailing Address - Phone:954-252-5780
Mailing Address - Fax:
Practice Address - Street 1:926 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-7029
Practice Address - Country:US
Practice Address - Phone:954-683-3742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-28
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC002719152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist