David A. Kyle Od Pc
LBN: David A. Kyle Od Pc
David A. Kyle Od Pc is an health care organization with primary practice located at 1055 W Baraga Ave , Marquette MI 49855-4068. The organization recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
David A. Kyle Od Pc can be contacted via phone (906) 228-8808, or through Kyle, David Alan via phone (906) 228-8808.
Contact Information
Primary practice address
1055 W Baraga Ave
Marquette MI 49855-4068
Phone: (906) 228-8808
Fax: (906) 228-9022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901003683 | Michigan |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 4901003683 | Michigan |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 4901003683 | Michigan |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 4901003683 | Michigan |
Profile Details
| NPI number | 1770757791 |
|---|---|
| LBN Legal business name | David A. Kyle Od Pc |
| DBA Doing business as | |
| Authorized official | Kyle, David Alan Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 22nd, 2008 |
| Last updated | May 28th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770757791 | NPPES |
| Michigan | Other | 130001809 | WEA |
| Michigan | Other | 900E265210 | WEA |
| Michigan | MEDICAID | 94-3319568 | WEA |
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