Kirk, Timothy R

Kirk, Timothy R is an individual health care provider with primary practice located at 22350 Novi Rd , Novi MI 48375-4708. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kirk, Timothy R can be contacted via phone (248) 347-7800.

Contact Information

Primary practice address
22350 Novi Rd Novi MI 48375-4708
Phone: (248) 347-7800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003020 Michigan

Profile Details

NPI number 1578618047
LBN Legal business name Kirk, Timothy R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated May 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578618047 NPPES
Michigan Other 900F365750 BCBS PROVIDER CODE
Michigan Other 383145055 BCBS PROVIDER CODE

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