Hieb, Kenneth Lyle

Hieb, Kenneth Lyle is an individual health care provider with primary practice located at 3749 S Mooney Blvd , Visalia CA 93277-8000. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hieb, Kenneth Lyle can be contacted via phone (559) 434-9812.

Contact Information

Primary practice address
3749 S Mooney Blvd Visalia CA 93277-8000
Phone: (559) 434-9812
Fax: (559) 434-9828
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5283T California

Profile Details

NPI number 1851366348
LBN Legal business name Hieb, Kenneth Lyle
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Mar 12th, 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 1851366348 NPPES
California MEDICAID SD0052830

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