Wilgers, Kirsten Reed
Wilgers, Kirsten Reed is an individual health care provider with primary practice located at 5820 Williamson Blvd Suite 106, Port Orange FL 32128-6100. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wilgers, Kirsten Reed can be contacted via phone (386) 767-4449.Contact Information
Primary practice address
5820 Williamson Blvd Suite 106
Port Orange FL 32128-6100
Phone: (386) 767-4449
Fax: (386) 767-1980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3622 | Florida |
Profile Details
| NPI number | 1265424188 |
|---|---|
| LBN Legal business name | Wilgers, Kirsten Reed |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Mar 29th, 2017 - about 9 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 | 1265424188 | NPPES |
| Florida | MEDICAID | 620669700 | |
| Florida | Other | 010470 | |
| Florida | Other | 542098594 | |
| Florida | Other | 5021890001 | |
| Florida | MEDICAID | 620815100 | |
| Florida | Other | FL3622 |
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