Kim Moyer Od Pc is a Optometrist in Rensselaer, Indiana. Kim Moyer Od Pc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kim Moyer Od Pc is 1336280494. The last update date is 2020-05-25.
Kim Moyer Od Pc's current location address is 215 W Kellner Blvd Ste 12, Rensselaer, Indiana. You can contact this provider via phone number 2198665722. The mailing address for Kim Moyer Od Pc is 215 W Kellner Blvd Ste 12, Rensselaer, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kim Moyer Od Pc |
|---|---|
| Address | 215 W Kellner Blvd Ste 12, Rensselaer, Indiana |
| Phone Number | 2198665722 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Moyer E Kim |
| Credentials | OD |
| Telephone Number | 2198665722 |
NPI Number Detail
| NPI Number | 1336280494 |
|---|---|
| Provider Enumeration Date | 2007-02-10 |
| Last Updated Date | 2020-05-25 |
Provider Mailing Address Detail
| Address | 215 W Kellner Blvd Ste 12 |
|---|---|
| City | Rensselaer |
| State | Indiana (IN) |
| Post Code | 479782665 |
| Phone Number | 2198665722 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 18001961B |
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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 |
|---|---|---|---|
| 100210730C | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kim Moyer Od Pc by the Centers for Medicare & Medicaid Services?
The Kim Moyer Od Pc has been assigned the NPI (National Provider Identifier) 1336280494. 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 share the complete physical location address where Kim Moyer Od Pc's facilities are situated?
The facilities of Kim Moyer Od Pc are physically located at the following address: 215 W Kellner Blvd Ste 12, Rensselaer, IN, 479782665.
What is Kim Moyer Od Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kim Moyer Od Pc is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did Kim Moyer Od Pc receive its 1336280494 assignment from the Centers for Medicare & Medicaid Services?
The Kim Moyer Od Pc was assigned its 1336280494 on 2007-02-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kim Moyer Od Pc most recently updated or revised?
The information pertaining to Kim Moyer Od Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-05-25.
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