David A. Kyle Od Pc in Marquette - Sports Vision
David A. Kyle Od Pc - NPI 1770757791
David A. Kyle Od Pc is a Sports Vision in Marquette, Michigan. David A. Kyle Od Pc practices all healthcare services and medical treatments related to Sports Vision. The NPI Number for David A. Kyle Od Pc is 1770757791. The last update date is 2008-05-28.
David A. Kyle Od Pc's current location address is 1055 W Baraga Ave, Marquette, Michigan. You can contact this provider via phone number 9062288808 and fax number 9062289022. The mailing address for David A. Kyle Od Pc is 1055 W Baraga Ave, Marquette, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | David A. Kyle Od Pc |
|---|---|
| Address | 1055 W Baraga Ave, Marquette, Michigan |
| Phone Number | 9062288808 |
| Fax Number | 9062289022 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Kyle Alan David |
| Credentials | O.D. |
| Telephone Number | 9062288808 |
NPI Number Detail
| NPI Number | 1770757791 |
|---|---|
| Provider Enumeration Date | 2008-04-22 |
| Last Updated Date | 2008-05-28 |
Provider Mailing Address Detail
| Address | 1055 W Baraga Ave |
|---|---|
| City | Marquette |
| State | Michigan (MI) |
| Post Code | 498554068 |
| Phone Number | 9062288808 |
| Fax Number | 9062289022 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Vision |
|---|---|
| Taxonomy | 152Ws0006X |
| Licence No | 4901003683 |
|
Definition: An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the preven |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 130001809 | MI | WEA | |
| 900E265210 | MI | BCBS | |
| 94-3319568 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to David A. Kyle Od Pc?
The David A. Kyle Od Pc has been issued the NPI (National Provider Identifier) 1770757791 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where David A. Kyle Od Pc's facilities are geographically located?
The facilities of David A. Kyle Od Pc are physically situated at the following location: 1055 W Baraga Ave, Marquette, MI, 498554068.
What is the David A. Kyle Od Pc's specialty and taxonomy code?
The David A. Kyle Od Pc's specialty is Sports Vision, and the corresponding taxonomy code is 152Ws0006X.
When was the David A. Kyle Od Pc's 1770757791 issued?
The David A. Kyle Od Pc's 1770757791 was issued on 2008-04-22.
As of what date were the details related to David A. Kyle Od Pc most recently updated or revised?
The information pertaining to David A. Kyle Od Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-28.