Kyle John Stalder in Jefferson - Optometrist

Kyle John Stalder - NPI 1720019029

Kyle John Stalder is a Optometrist in Jefferson, Iowa. Kyle John Stalder practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kyle John Stalder is 1720019029. The last update date is 2018-08-29.

Kyle John Stalder's current location address is 207 N Chestnut St, Jefferson, Iowa. You can contact this provider via phone number 5153863513. The mailing address for Kyle John Stalder is 207 N Chestnut St, Jefferson, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Kyle John Stalder
Address 207 N Chestnut St, Jefferson, Iowa
Phone Number 5153863513
Fax Number
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1720019029
Provider Enumeration Date 2006-07-05
Last Updated Date 2018-08-29

Provider Mailing Address Detail

Address 207 N Chestnut St
City Jefferson
State Iowa (IA)
Post Code 501291906
Phone Number 5153863513
Fax Number

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 2356
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1166322 IA --
547170006 DMERC
166322 IA --
2166322 IA --
547170001 IA DMERC
547170004 IA DMERC
547170005 IA DMERC
724732 IA --
4166322 IA --
5166322 IA --

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FAQs about Kyle John Stalder

What is the Kyle John Stalder's unique identification number?

The Kyle John Stalder has been assigned the NPI (National Provider Identifier) Number 1720019029 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Kyle John Stalder is geographically located?

The Kyle John Stalder is physically situated at the following location: 207 N Chestnut St, Jefferson, IA, 501291906.

What is Kyle John Stalder's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kyle John Stalder is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.

When was the Kyle John Stalder's 1720019029 issued?

The Kyle John Stalder's 1720019029 was issued on 2006-07-05.

When was the information related to Kyle John Stalder most recently updated or refreshed?

The details pertaining to the Kyle John Stalder, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-08-29.

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