Kirste, Ian Thorsten
Kirste, Ian Thorsten is an individual health care provider with primary practice located at 121 S Main Ave , Aztec NM 87410-2120. He recently has 6 registered licenses in different health care specialties including Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Sports Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Kirste, Ian Thorsten can be contacted via phone (505) 333-7278.Contact Information
Primary practice address
121 S Main Ave
Aztec NM 87410-2120
Phone: (505) 333-7278
Fax: (505) 395-9287
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 424 | New Mexico |
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 424 | New Mexico |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 424 | New Mexico |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 424 | New Mexico |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 424 | New Mexico |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 424 | New Mexico |
Profile Details
| NPI number | 1770546657 |
|---|---|
| LBN Legal business name | Kirste, Ian Thorsten |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Mar 17th, 2018 - about 7 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 | 1770546657 | NPPES |
| New Mexico | MEDICAID | 23623331 |
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