Cruise, Kimberly Kay

Cruise, Kimberly Kay is an individual health care provider with primary practice located at 1065 East Post Road , Marion IA 52302. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Cruise, Kimberly Kay can be contacted via phone (319) 377-2222.

Contact Information

Primary practice address
1065 East Post Road Marion IA 52302
Fax: (319) 377-2967
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 02119 Iowa

Profile Details

NPI number 1437129558
LBN Legal business name Cruise, Kimberly Kay
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jun 22nd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437129558 NPPES
Iowa Other 46561 BCBS
Iowa Other 46560 BCBS
Iowa MEDICAID 0461921 BCBS
Iowa Other 40331 BCBS
Iowa Other 410038361 BCBS
Iowa Other 7396043 BCBS

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