Kirchner, Bradley S.

Kirchner, Bradley S. is an sole proprietor health care provider with primary practice located at 28 Blanding Blvd , Orange Park FL 32073-2202. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kirchner, Bradley S. can be contacted via phone (904) 264-5483.

Contact Information

Primary practice address
28 Blanding Blvd Orange Park FL 32073-2202
Phone: (904) 264-5483
Fax: (904) 213-0515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC4284 Florida

Profile Details

NPI number 1710026653
LBN Legal business name Kirchner, Bradley S.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Mar 7th, 2023 - about last year

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 1710026653 NPPES
Virginia MEDICAID 9233130

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