Ian T Kirste Od Pc in Aztec - Optometrist

Ian T Kirste Od Pc - NPI 1356564736

Ian T Kirste Od Pc is a Optometrist in Aztec, New Mexico. Ian T Kirste Od Pc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Ian T Kirste Od Pc is 1356564736. The last update date is 2017-10-16.

Ian T Kirste Od Pc's current location address is 121 S Main Ave, Aztec, New Mexico. You can contact this provider via phone number 5053337278 and fax number 5053959287. The mailing address for Ian T Kirste Od Pc is 121 S Main Ave, Aztec, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ian T Kirste Od Pc
Address 121 S Main Ave, Aztec, New Mexico
Phone Number 5053337278
Fax Number 5053959287
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OPTOMETRIS
Authorized Official Name Kirste T Ian
Credentials OD
Telephone Number 5053267654

NPI Number Detail

NPI Number 1356564736
Provider Enumeration Date 2007-04-11
Last Updated Date 2017-10-16

Provider Mailing Address Detail

Address 121 S Main Ave
City Aztec
State New Mexico (NM)
Post Code 874102120
Phone Number 5053337278
Fax Number 5053959287

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 424
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
E5476 NM --

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FAQs about Ian T Kirste Od Pc

What is the unique 10-digit identifier code issued to Ian T Kirste Od Pc by the Centers for Medicare & Medicaid Services?

The Ian T Kirste Od Pc has been assigned the NPI (National Provider Identifier) 1356564736 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Ian T Kirste Od Pc is physically located?

The Ian T Kirste Od Pc is physically situated at the following address: 121 S Main Ave, Aztec, NM, 874102120.

What is Ian T Kirste 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 Ian T Kirste Od Pc is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.

On what date did Ian T Kirste Od Pc receive its 1356564736 assignment from the Centers for Medicare & Medicaid Services?

The Ian T Kirste Od Pc was assigned its 1356564736 on 2007-04-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Ian T Kirste Od Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Ian T Kirste Od Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-10-16.

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