Michael George Kennedy in Elgin - Optometrist
Michael George Kennedy - NPI 1417111790
Michael George Kennedy is a Optometrist in Elgin, Illinois. Michael George Kennedy practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Michael George Kennedy is 1417111790. The last update date is 2012-09-10.
Michael George Kennedy's current location address is 363 S Randall Rd, Elgin, Illinois. You can contact this provider via phone number 8478881555. The mailing address for Michael George Kennedy is 363 S Randall Rd, Elgin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael George Kennedy |
|---|---|
| Address | 363 S Randall Rd, Elgin, Illinois |
| Phone Number | 8478881555 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1417111790 |
|---|---|
| Provider Enumeration Date | 2008-07-15 |
| Last Updated Date | 2012-09-10 |
Provider Mailing Address Detail
| Address | 363 S Randall Rd |
|---|---|
| City | Elgin |
| State | Illinois (IL) |
| Post Code | 601235526 |
| Phone Number | 8478881555 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 46010127 |
|
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 |
|---|---|---|---|
| 36-3546473 | IL | TAX ID | |
| 1508088683 | IL | GROUP NPI FOR BCBS | |
| 4515286 | IL | BCBS | |
| 1891842464 | IL | OTHER NPI |
Post Comment/ Review Below
What is the unique identifier code issued to Michael George Kennedy by the Centers for Medicare & Medicaid Services (CMS)?
The Michael George Kennedy has been assigned the NPI (National Provider Identifier) 1417111790. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Michael George Kennedy is located?
The Michael George Kennedy is situated at the following address: 363 S Randall Rd, Elgin, IL, 601235526.
What is Michael George Kennedy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael George Kennedy's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
When did the Michael George Kennedy receive its 1417111790?
The Michael George Kennedy was issued its 1417111790 on 2008-07-15, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Michael George Kennedy most recently updated or revised?
The information pertaining to Michael George Kennedy, including its address, specialty, and other relevant details, was last updated or revised on 2012-09-10.
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