Richard N Kittelson in Detroit Lakes - Eyewear Supplier
Richard N Kittelson - NPI 1962496570
Richard N Kittelson is a Eyewear Supplier in Detroit Lakes, Minnesota. Richard N Kittelson practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Richard N Kittelson is 1962496570. The last update date is 2022-07-21.
Richard N Kittelson's current location address is 918 Washington Ave, Detroit Lakes, Minnesota. You can contact this provider via phone number 2188478021 and fax number 2188469552. The mailing address for Richard N Kittelson is 918 Washington Ave, Detroit Lakes, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Richard N Kittelson |
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Address | 918 Washington Ave, Detroit Lakes, Minnesota |
Phone Number | 2188478021 |
Fax Number | 2188469552 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OPTICIAN/O |
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Authorized Official Name | Kittelson N Richard |
Credentials | ABOC |
Telephone Number | 2188478021 |
NPI Number Detail
NPI Number | 1962496570 |
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Provider Enumeration Date | 2005-09-09 |
Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
Address | 918 Washington Ave |
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City | Detroit Lakes |
State | Minnesota (MN) |
Post Code | 565013402 |
Phone Number | 2188478021 |
Fax Number | 2188469552 |
Provider's Primary Taxonomy Detail
Speciality | Eyewear Supplier |
---|---|
Taxonomy | 332H00000X |
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1C991OP | MN | BLUE CROSS BLUE SHIELD | |
2100679 | MN | MEDICA | |
OPT301766 | ND | NORTH DAKOTA VISION SERVI |
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What is the unique 10-digit identifier code issued to Richard N Kittelson by the Centers for Medicare & Medicaid Services?
The Richard N Kittelson has been assigned the NPI (National Provider Identifier) 1962496570 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Richard N Kittelson located?
The Richard N Kittelson is located at 918 Washington Ave, Detroit Lakes, MN 565013402.
What is Richard N Kittelson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Richard N Kittelson is Eyewear Supplier, and the taxonomy classification code that categorizes this area of expertise is 332H00000X.
When was the Richard N Kittelson's 1962496570 issued?
The Richard N Kittelson's 1962496570 was issued on 2005-09-09.
When was the information regarding Richard N Kittelson most recently updated?
The details pertaining to the Richard N Kittelson, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.