Kline, Thomas Matthew

Kline, Thomas Matthew is an individual health care provider with primary practice located at 345 Clyde Morris Blvd Suite 330, Ormond Beach FL 32174-3114. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kline, Thomas Matthew can be contacted via phone (386) 672-4244.

Contact Information

Primary practice address
345 Clyde Morris Blvd Suite 330 Ormond Beach FL 32174-3114
Phone: (386) 672-4244
Fax: (386) 672-0603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC4204 Florida

Profile Details

NPI number 1558569608
LBN Legal business name Kline, Thomas Matthew
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Jun 14th, 2012 - about 14 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 1558569608 NPPES
Florida MEDICAID 002244500

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