Kirk D Wallis in Lancaster - Optician

Kirk D Wallis - NPI 1649315920

Kirk D Wallis is a Optician in Lancaster, California. Kirk D Wallis practices all healthcare services and medical treatments related to Optician. The NPI Number for Kirk D Wallis is 1649315920. The last update date is 2012-09-18.

Kirk D Wallis's current location address is 44407 10th St W, Lancaster, California. You can contact this provider via phone number 6619426515 and fax number 6617239293. The mailing address for Kirk D Wallis is 44407 10th St W, Lancaster, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kirk D Wallis
Address 44407 10th St W, Lancaster, California
Phone Number 6619426515
Fax Number 6617239293
Sole Proprietor Y
Credentials R.D.O.

NPI Number Detail

NPI Number 1649315920
Provider Enumeration Date 2007-02-21
Last Updated Date 2012-09-18

Provider Mailing Address Detail

Address 44407 10th St W
City Lancaster
State California (CA)
Post Code 935343345
Phone Number 6619426515
Fax Number 6617239293

Provider's Primary Taxonomy Detail

Speciality Optician
Taxonomy 156Fx1800X
Licence No 6273
Definition:
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZZZ35826Z CA --

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FAQs about Kirk D Wallis

What is the unique identifier code issued to Kirk D Wallis by the Centers for Medicare & Medicaid Services?

The Kirk D Wallis has been assigned the NPI (National Provider Identifier) 1649315920. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Kirk D Wallis is located?

The Kirk D Wallis is situated at the following address: 44407 10Th St W, Lancaster, CA, 935343345.

What is the Kirk D Wallis's specialty and taxonomy code?

The Kirk D Wallis's specialty is Optician, and the corresponding taxonomy code is 156Fx1800X.

When did Kirk D Wallis receive its 1649315920 assignment?

The Kirk D Wallis was assigned its 1649315920 on 2007-02-21, which is the date when this unique identifier was issued to the organization.

As of what date were the Kirk D Wallis's details last updated?

The information pertaining to the Kirk D Wallis, including its address, specialty, and other details, was most recently updated on 2012-09-18.

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