Kress, Theodore D

Kress, Theodore D is an individual health care provider with primary practice located at 920 W Main St , Bridgeport WV 26330-1651. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kress, Theodore D can be contacted via phone (304) 842-4444.

Contact Information

Primary practice address
920 W Main St Bridgeport WV 26330-1651
Phone: (304) 842-4444
Fax: (304) 842-4491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 958-OD West Virginia

Profile Details

NPI number 1346240413
LBN Legal business name Kress, Theodore D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Aug 25th, 2016 - about 8 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 1346240413 NPPES
West Virginia Other 001720797 BCBS
West Virginia Other 410042363 BCBS
West Virginia Other P00440067 BCBS
West Virginia MEDICAID 0150098000 BCBS
West Virginia Other P00247169 BCBS
West Virginia Other 1346240413 BCBS

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