Kyle Devon Andrus in Shreveport - Optometrist
Kyle Devon Andrus - NPI 1316982028
Kyle Devon Andrus is a Optometrist in Shreveport, Louisiana. Kyle Devon Andrus practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kyle Devon Andrus is 1316982028. The last update date is 2021-04-19.
Kyle Devon Andrus's current location address is 8889 Jewella Ave Ste C&d, Shreveport, Louisiana. You can contact this provider via phone number 3186865227 and fax number 3187163376. The mailing address for Kyle Devon Andrus is 8889 Jewella Ave Ste C&d, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyle Devon Andrus |
|---|---|
| Address | 8889 Jewella Ave Ste C&d, Shreveport, Louisiana |
| Phone Number | 3186865227 |
| Fax Number | 3187163376 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1316982028 |
|---|---|
| Provider Enumeration Date | 2006-06-17 |
| Last Updated Date | 2021-04-19 |
Provider Mailing Address Detail
| Address | 8889 Jewella Ave Ste C&d |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711182138 |
| Phone Number | 3186865227 |
| Fax Number | 3187163376 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1929-865AT |
|
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 |
|---|---|---|---|
| 2502007 | NV | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kyle Devon Andrus by the Centers for Medicare & Medicaid Services?
The Kyle Devon Andrus has been issued the NPI (National Provider Identifier) 1316982028 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kyle Devon Andrus?
The Kyle Devon Andrus is situated at 8889 Jewella Ave Ste C&D, in the city of Shreveport, state of LA, with the zip code 711182138.
What is Kyle Devon Andrus's area of expertise and its corresponding taxonomy classification?
The Kyle Devon Andrus's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kyle Devon Andrus receive the assignment of its 1316982028 from the Centers for Medicare & Medicaid Services?
The Kyle Devon Andrus was issued its 1316982028 by the Centers for Medicare & Medicaid Services on 2006-06-17.
As of what date were the details related to Kyle Devon Andrus most recently updated or revised?
The information pertaining to Kyle Devon Andrus, including its address, specialty, and other relevant details, was last updated or revised on 2021-04-19.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY