Kinney, Micah Jason
Kinney, Micah Jason is an individual health care provider with primary practice located at Usffc 1562 Mitscher Ave Ste 250 , Norfolk VA 23551-2487. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Kinney, Micah Jason can be contacted via phone (757) 836-5929.Contact Information
Primary practice address
Usffc 1562 Mitscher Ave Ste 250
Norfolk VA 23551-2487
Phone: (757) 836-5929
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2200 | North Carolina |
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 2200 | North Carolina |
Profile Details
| NPI number | 1982918181 |
|---|---|
| LBN Legal business name | Kinney, Micah Jason |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2010 |
| Last updated | Nov 30th, 2020 - about 5 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 | 1982918181 | NPPES |
| Alabama | MEDICAID | 154767 | |
| Alabama | Other | 511-43311 |
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