Menzie, Kimberly Lynne
Menzie, Kimberly Lynne is an individual health care provider with primary practice located at 4945 Williams Dr , Georgetown TX 78633-2008. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Menzie, Kimberly Lynne can be contacted via phone (512) 819-0500.Contact Information
Primary practice address
4945 Williams Dr
Georgetown TX 78633-2008
Phone: (512) 819-0500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8620T | Texas |
Profile Details
| NPI number | 1194884411 |
|---|---|
| LBN Legal business name | Menzie, Kimberly Lynne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Mar 4th, 2021 - about 4 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 | 1194884411 | NPPES |
| Texas | MEDICAID | 351131301 | |
| Texas | MEDICAID | 351131302 |
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