Kutrosky, Thomas

Kutrosky, Thomas is an individual health care provider with primary practice located at 5269 Lankershim Blvd , North Hollywood CA 91601-3111. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kutrosky, Thomas can be contacted via phone (818) 769-2020.

Contact Information

Primary practice address
5269 Lankershim Blvd North Hollywood CA 91601-3111
Phone: (818) 769-2020
Fax: (818) 769-2024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 04267T California

Profile Details

NPI number 1326093303
LBN Legal business name Kutrosky, Thomas
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326093303 NPPES
California Other 04267T CA STATE LICENSE

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