Richard Charles Kern in Peoria - Optometrist
Richard Charles Kern - NPI 1497812242
Richard Charles Kern is a Optometrist in Peoria, Illinois. Richard Charles Kern practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Richard Charles Kern is 1497812242. The last update date is 2008-05-16.
Richard Charles Kern's current location address is 4408 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096826214 and fax number 3096826236. The mailing address for Richard Charles Kern is 4408 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Charles Kern |
|---|---|
| Address | 4408 N Knoxville Ave, Peoria, Illinois |
| Phone Number | 3096826214 |
| Fax Number | 3096826236 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1497812242 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2008-05-16 |
Provider Mailing Address Detail
| Address | 4408 N Knoxville Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616146084 |
| Phone Number | 3096826214 |
| Fax Number | 3096826236 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 467198 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 46007198 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Richard Charles Kern by the Centers for Medicare & Medicaid Services?
The Richard Charles Kern has been assigned the NPI (National Provider Identifier) 1497812242. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Richard Charles Kern?
The Richard Charles Kern is physically situated at 4408 N Knoxville Ave, in the city of Peoria, state of IL, with the postal code 616146084.
What is the Richard Charles Kern's specialty and taxonomy code?
The Richard Charles Kern's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1497812242 to Richard Charles Kern?
The Richard Charles Kern received its 1497812242 assignment from the Centers for Medicare & Medicaid Services on 2007-01-02.
When was the information related to Richard Charles Kern most recently updated or refreshed?
The details pertaining to the Richard Charles Kern, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-16.
NPI Number: 1124025044
Address: 9244 W Atlantic Blvd Apt 1238, Coral Springs, FL