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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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