Kimack, Donna

Kimack, Donna is an individual health care provider with primary practice located at 1161 Abbott Rd , Buffalo NY 14220-2701. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kimack, Donna can be contacted via phone (716) 824-2631.

Contact Information

Primary practice address
1161 Abbott Rd Buffalo NY 14220-2701
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT004790-1 New York

Profile Details

NPI number 1336292119
LBN Legal business name Kimack, Donna
Credentials OPTOMETRIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 17 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 1336292119 NPPES
New York Other VUT004790-1 LICENSE
New York Other 000390033002 LICENSE

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