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
Fax: (614) 871-4073
Website:

Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700867652 NPPES
Illinois MEDICAID 046008206

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