Cizek, Kathryn A

Cizek, Kathryn A is an individual health care provider with primary practice located at 3830 W Front St Cedar Run Eye Center, Traverse City MI 49684-8153. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Cizek, Kathryn A can be contacted via phone (231) 929-3888.

Contact Information

Primary practice address
3830 W Front St Cedar Run Eye Center Traverse City MI 49684-8153
Phone: (231) 929-3888
Fax: (231) 929-4365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003094 Michigan

Profile Details

NPI number 1134113517
LBN Legal business name Cizek, Kathryn A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Feb 1st, 2012 - about 12 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 1134113517 NPPES
Michigan Other 900B86347 BLUE CROSS BLUE SHIELD
Michigan Other 1020070001 BLUE CROSS BLUE SHIELD
Michigan Other CN1586 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 943166469 BLUE CROSS BLUE SHIELD

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