Krisel, James

Krisel, James is an sole proprietor health care provider with primary practice located at 6795 Stirling Rd , Davie FL 33314-7118. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Krisel, James can be contacted via phone (954) 961-1509.

Contact Information

Primary practice address
6795 Stirling Rd Davie FL 33314-7118
Phone: (954) 961-1509
Fax: (954) 961-1604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 954 Florida

Profile Details

NPI number 1437148756
LBN Legal business name Krisel, James
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Jan 21st, 2014 - about 12 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 1437148756 NPPES
Florida Other OS-D0626 BC/BS
Florida MEDICAID 084184600 BC/BS

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