Abshire, Kyle D

Abshire, Kyle D is an individual health care provider with primary practice located at 905 Park Ave Ste 100, Orange Park FL 32073-4101. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Abshire, Kyle D can be contacted via phone (904) 264-1206.

Contact Information

Primary practice address
905 Park Ave Ste 100 Orange Park FL 32073-4101
Phone: (904) 264-1206
Fax: (904) 264-3685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 809 Florida

Profile Details

NPI number 1578545869
LBN Legal business name Abshire, Kyle D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jan 29th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578545869 NPPES
Florida Other 4410864 AETNA
Florida Other 20207 AETNA
Florida Other 2203741 AETNA

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