Kinzer, Eilene Eugenio
Kinzer, Eilene Eugenio is an individual health care provider with primary practice located at 147 Sycamore St Kentucky College Of Optometry, Pikeville KY 41501-9118. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kinzer, Eilene Eugenio can be contacted via phone (606) 218-5514.Contact Information
Primary practice address
147 Sycamore St Kentucky College Of Optometry
Pikeville KY 41501-9118
Phone: (606) 218-5514
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2006DT | Kentucky |
Profile Details
| NPI number | 1013242106 |
|---|---|
| LBN Legal business name | Kinzer, Eilene Eugenio |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2009 |
| Last updated | Apr 16th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013242106 | NPPES |
| Virginia | MEDICAID | 201080570 | |
| Virginia | MEDICAID | 7100397540 |
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