Dimova, Kristina

Dimova, Kristina is an individual health care provider with primary practice located at 85 Beach St. Building B Unit 4, Westerly RI 02891-2718. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Dimova, Kristina can be contacted via phone (401) 596-2292.

Contact Information

Primary practice address
85 Beach St. Building B Unit 4 Westerly RI 02891-2718
Fax: (401) 596-4910
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X CODTG00623 Rhode Island
Eye and Vision Services Providers / Optometrist 152W00000X ODTG00623 Rhode Island

Profile Details

NPI number 1811120538
LBN Legal business name Dimova, Kristina
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2009
Last updated Jul 6th, 2020 - about 6 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 1811120538 NPPES
Rhode Island Other 1811120538 ALL OTHER PAYERS

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