Jonathan Edward Kintner in Mishawaka - Optometrist
Jonathan Edward Kintner - NPI 1053494328
Jonathan Edward Kintner is a Optometrist in Mishawaka, Indiana. Jonathan Edward Kintner practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jonathan Edward Kintner is 1053494328. The last update date is 2008-06-06.
Jonathan Edward Kintner's current location address is 517 Lincoln Way E, Mishawaka, Indiana. You can contact this provider via phone number 5742553188 and fax number 5742554182. The mailing address for Jonathan Edward Kintner is 517 Lincoln Way E, Mishawaka, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Edward Kintner |
|---|---|
| Address | 517 Lincoln Way E, Mishawaka, Indiana |
| Phone Number | 5742553188 |
| Fax Number | 5742554182 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1053494328 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2008-06-06 |
Provider Mailing Address Detail
| Address | 517 Lincoln Way E |
|---|---|
| City | Mishawaka |
| State | Indiana (IN) |
| Post Code | 465442211 |
| Phone Number | 5742553188 |
| Fax Number | 5742554182 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 18001487 |
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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 |
|---|---|---|---|
| 506038 | IN | BLUE CROSS BLUE SHIELD | |
| 1053494328 | IN | NPI | |
| 100279600A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jonathan Edward Kintner by the Centers for Medicare & Medicaid Services?
The Jonathan Edward Kintner has been issued the NPI (National Provider Identifier) 1053494328 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jonathan Edward Kintner's physical address?
The Jonathan Edward Kintner is physically located at 517 Lincoln Way E, in the city of Mishawaka, IN, with the postal code 465442211.
What is Jonathan Edward Kintner's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jonathan Edward Kintner is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053494328 to Jonathan Edward Kintner?
The Jonathan Edward Kintner received its 1053494328 assignment from the Centers for Medicare & Medicaid Services on 2006-10-23.
When was the information pertaining to Jonathan Edward Kintner most recently updated or revised?
The details related to Jonathan Edward Kintner, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-06.