Taddie, Kristen Jean

Taddie, Kristen Jean is an sole proprietor health care provider with primary practice located at 125 Lawrence Rd E , N Syracuse NY 13212-3844. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Taddie, Kristen Jean can be contacted via phone (315) 455-5500.

Contact Information

Primary practice address
125 Lawrence Rd E N Syracuse NY 13212-3844
Phone: (315) 455-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV007736 New York

Profile Details

NPI number 1831483585
LBN Legal business name Taddie, Kristen Jean
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2011
Last updated Oct 31st, 2016 - about 8 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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