Treick, Kyle David
Treick, Kyle David is an individual health care provider with primary practice located at 702 W Drake Rd Bldg B , Fort Collins CO 80526-5563. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Treick, Kyle David can be contacted via phone (970) 221-4811.Contact Information
Primary practice address
702 W Drake Rd Bldg B
Fort Collins CO 80526-5563
Phone: (970) 221-4811
Fax: (970) 221-4815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2346 | Colorado |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT2346 | Colorado |
Profile Details
| NPI number | 1235129115 |
|---|---|
| LBN Legal business name | Treick, Kyle David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Jul 8th, 2022 - about 4 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 | 1235129115 | NPPES |
| Colorado | MEDICAID | 67481540 |
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