Kipp, Gregory T
Kipp, Gregory T is an individual health care provider with primary practice located at 3820 S Nova Rd , Port Orange FL 32127-4949. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kipp, Gregory T can be contacted via phone (386) 767-0068.Contact Information
Primary practice address
3820 S Nova Rd
Port Orange FL 32127-4949
Phone: (386) 767-0068
Fax: (386) 767-4755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC1387 | Florida |
Profile Details
| NPI number | 1265488134 |
|---|---|
| LBN Legal business name | Kipp, Gregory T |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Nov 7th, 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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