Mayginnes, Kyle D
Mayginnes, Kyle D is an individual health care provider with primary practice located at 1584 Stringtown Rd , Grove City OH 43123-9832. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mayginnes, Kyle D can be contacted via phone (614) 871-4016.Contact Information
Primary practice address
1584 Stringtown Rd
Grove City OH 43123-9832
Phone: (614) 871-4016
Fax: (614) 871-4073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046-008206 | Illinois |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT.007031 | Ohio |
Profile Details
| NPI number | 1700867652 |
|---|---|
| LBN Legal business name | Mayginnes, Kyle D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Jan 3rd, 2024 - about 10 months 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 | 1700867652 | NPPES |
| Illinois | MEDICAID | 046008206 |
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