Kirkland, Lisa

Kirkland, Lisa is an individual health care provider with primary practice located at 12221 Guy R Brewer Blvd # A , Jamaica NY 11434-2406. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kirkland, Lisa can be contacted via phone (718) 527-0550.

Contact Information

Primary practice address
12221 Guy R Brewer Blvd # A Jamaica NY 11434-2406
Phone: (718) 527-0550
Fax: (718) 527-0546
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT005701 New York

Profile Details

NPI number 1104801802
LBN Legal business name Kirkland, Lisa
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Dec 26th, 2022 - about 3 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 1104801802 NPPES
New York MEDICAID 01608319

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