Maynard, Kirk C.

Maynard, Kirk C. is an individual health care provider with primary practice located at 16016 Evans St Suite 101, Omaha NE 68116-6457. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Maynard, Kirk C. can be contacted via phone (402) 493-3224.

Contact Information

Primary practice address
16016 Evans St Suite 101 Omaha NE 68116-6457
Phone: (402) 493-3224
Fax: (402) 493-4041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046007646 Illinois
Eye and Vision Services Providers / Optometrist 152W00000X 1251 Nebraska

Profile Details

NPI number 1902891096
LBN Legal business name Maynard, Kirk C.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Apr 2nd, 2014 - about 11 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 1902891096 NPPES
Nebraska MEDICAID 47048659410

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