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Contact Information

KIM J BUTLER, OD
1273 BROADWAY
EL CAJON, CA92021-4902
 Phone: 619-579-2345
 Fax: 619-579-0876
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Occupational Vision

152WX0102X 41 Optometry
Indicates primary specialty

NPI Profile & details for KIM J BUTLER · (Male)

NPI # 1467444844
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/22/2005
Last updated 07/24/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # OPT6405TPA
  • CA Medicaid SD0064050
  • CA Medicaid SD0064051
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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