Martin, Kyle D
Martin, Kyle D is an individual health care provider with primary practice located at 391 Lincoln Park Dr , New Lexington OH 43764-1080. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Martin, Kyle D can be contacted via phone (740) 342-1784.Contact Information
Primary practice address
391 Lincoln Park Dr
New Lexington OH 43764-1080
Phone: (740) 342-1784
Fax: (740) 342-1791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6847 | Ohio |
Profile Details
| NPI number | 1760004071 |
|---|---|
| LBN Legal business name | Martin, Kyle D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2020 |
| Last updated | Aug 31st, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760004071 | NPPES |
| Ohio | MEDICAID | 0452164 |
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