Tison, Kara Lynn
Tison, Kara Lynn is an individual health care provider with primary practice located at 301 E Muhammad Ali Blvd , Louisville KY 40202. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Pediatrics is her primary health care specialty. Tison, Kara Lynn can be contacted via phone (502) 588-0550.Contact Information
Primary practice address
301 E Muhammad Ali Blvd
Louisville KY 40202
Phone: (502) 588-0550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8442TG | Texas |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046.010570 | Illinois |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2120DT | Kentucky |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2120DT | Kentucky |
Profile Details
| NPI number | 1174878375 |
|---|---|
| LBN Legal business name | Tison, Kara Lynn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2012 |
| Last updated | Dec 28th, 2018 - about 8 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 | 1174878375 | NPPES |
| Indiana | MEDICAID | 300020905 | |
| Indiana | Other | 2120DT | |
| Indiana | Other | K116800 | |
| Indiana | MEDICAID | 7100556990 |
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