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Contact Information

KIVLIN EYE CLINIC, SC
370 3RD AVE
CLEAR LAKE, WI54005
 Phone: 715-263-2600
 Fax: 715-263-3233
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KIVLIN EYE CLINIC SC · (Female)

NPI # 1952595480
Status Active
Credentials
Entity Individual
Enumeration date 08/28/2007
Last updated 08/31/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 1539-035
  • WI Medicaid 38702400
  • WI Other 0523040002 DMERC
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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