Poe, Kristi Kaylynn

Poe, Kristi Kaylynn is an individual health care provider with primary practice located at 820 Ocean Beach Hwy Suite 100, Longview WA 98632-4080. She recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Poe, Kristi Kaylynn can be contacted via phone (360) 636-2020.

Contact Information

Primary practice address
820 Ocean Beach Hwy Suite 100 Longview WA 98632-4080
Fax: (360) 425-0221
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD 60099365 Washington
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OD60099365 Washington
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X OD60099365 Washington
Eye and Vision Services Providers / Occupational Vision 152WX0102X OD60099365 Washington
Eye and Vision Services Providers / Pediatrics 152WP0200X OD60099365 Washington
Eye and Vision Services Providers / Sports Vision 152WS0006X OD60099365 Washington
Eye and Vision Services Providers / Vision Therapy 152WV0400X OD60099365 Washington

Profile Details

NPI number 1386878965
LBN Legal business name Poe, Kristi Kaylynn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2009
Last updated May 2nd, 2011 - about 13 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 1386878965 NPPES
Washington MEDICAID 2006635
Washington Other 50D2022229

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