National Provider Identifier Database

KIVLIN EYE CLINIC SC
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

KIVLIN EYE CLINIC, SC
370 3RD AVE
CLEAR LAKE, WI54005
Phone: 715-263-2600
Fax: 715-263-3233
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for KIVLIN EYE CLINIC, SC

NPI Number 1952595480
Legal business name
LBN
KIVLIN EYE CLINIC, SC
Authorized official JAMES KIVLIN - (OWNER/OPTOMETRIST)
Entity Organization
Organization subpart No
Enumeration date 08/28/2007
Last updated 08/31/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 1539-035
  • WI Medicaid: 38702400
  • WI Other: 0523040002 DMERC

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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