Kinard, Eric Teal
Kinard, Eric Teal is an individual health care provider with primary practice located at 1137 Cedar Shoals Dr , Athens GA 30605-3592. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Kinard, Eric Teal can be contacted via phone (706) 353-2119.Contact Information
Primary practice address
1137 Cedar Shoals Dr
Athens GA 30605-3592
Phone: (706) 353-2119
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 933 | Georgia |
Profile Details
| NPI number | 1407836638 |
|---|---|
| LBN Legal business name | Kinard, Eric Teal |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Mar 21st, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407836638 | NPPES |
| Georgia | Other | 1234960001 | MEDICARE DMERC |
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