Kirby, Shannon Lee

Kirby, Shannon Lee is an individual health care provider with primary practice located at 2490 Stantonsburg Rd , Greenville NC 27834-7210. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kirby, Shannon Lee can be contacted via phone (252) 752-4844.

Contact Information

Primary practice address
2490 Stantonsburg Rd Greenville NC 27834-7210
Phone: (252) 752-4844
Fax: (252) 752-7131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1814 North Carolina

Profile Details

NPI number 1417925975
LBN Legal business name Kirby, Shannon Lee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Mar 20th, 2023 - about 2 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 1417925975 NPPES
North Carolina MEDICAID 89093E9
North Carolina Other 189296

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