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Contact Information

KYLE A BRODIE, OD
955 COMMERCE DR
SUITE 4
PERRYSBURG, OH43551-5261
 Phone: 419-931-2020
 Fax: 419-873-1445
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KYLE A BRODIE · (Male)

NPI Number 1962580217
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/02/2006
Last updated 08/21/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 4547
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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