Beisel, Kelli Renee

Beisel, Kelli Renee is an individual health care provider with primary practice located at 315A Johnny Mercer Blvd Island Eye Care, Savannah GA 31410. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Beisel, Kelli Renee can be contacted via phone (912) 897-4243.

Contact Information

Primary practice address
315A Johnny Mercer Blvd Island Eye Care Savannah GA 31410
Phone: (912) 897-4243
Fax: (912) 897-0450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X GA1199 Georgia

Profile Details

NPI number 1134194517
LBN Legal business name Beisel, Kelli Renee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jul 8th, 2007 - about 18 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 1134194517 NPPES
Georgia MEDICAID 0067497913

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