Vanarsdall, Kenneth L.

Vanarsdall, Kenneth L. is an individual health care provider with primary practice located at 1033 Jackson St Ste C, Columbus IN 47201-5769. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Vanarsdall, Kenneth L. can be contacted via phone (812) 376-3068.

Contact Information

Primary practice address
1033 Jackson St Ste C Columbus IN 47201-5769
Phone: (812) 376-3068
Fax: (812) 376-6771
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18001611 Indiana

Profile Details

NPI number 1942205687
LBN Legal business name Vanarsdall, Kenneth L.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2005
Last updated Jan 12th, 2015 - 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 1942205687 NPPES
Indiana Other 0210890001 DMERC ID FOR CORPORATION
Indiana MEDICAID 100052140A DMERC ID FOR CORPORATION

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