Mihaly, Keith Alan
Mihaly, Keith Alan is an individual health care provider with primary practice located at 400 W Dundee Rd Suite 14-15, Buffalo Grove IL 60089-3415. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mihaly, Keith Alan can be contacted via phone (847) 459-9119.Contact Information
Primary practice address
400 W Dundee Rd Suite 14-15
Buffalo Grove IL 60089-3415
Phone: (847) 459-9119
Fax: (847) 459-8115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046007845 | Illinois |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC002198 | Florida |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18002176A | Illinois |
Profile Details
| NPI number | 1154384709 |
|---|---|
| LBN Legal business name | Mihaly, Keith Alan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Jul 2nd, 2008 - about 16 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 | 1154384709 | NPPES |
| Illinois | Other | 0410048631 | MEDICARE ID |
| Illinois | Other | 5303296 | MEDICARE ID |
| Illinois | Other | 1605476 | MEDICARE ID |
| Illinois | Other | 363614738 | MEDICARE ID |
| Illinois | Other | 363614738 | MEDICARE ID |
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