Pavletic, Kirk Patrick

Pavletic, Kirk Patrick is an individual health care provider with primary practice located at 10739 W 159Th Street , Orland Park IL 60467-4531. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pavletic, Kirk Patrick can be contacted via phone (708) 403-7711.

Contact Information

Primary practice address
10739 W 159Th Street Orland Park IL 60467-4531
Phone: (708) 403-7711
Fax: (708) 403-7799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046007849 Illinois

Profile Details

NPI number 1831269653
LBN Legal business name Pavletic, Kirk Patrick
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Aug 15th, 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 1831269653 NPPES
Other 01684602 BC/BS

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