NPI | 1073670170 |
---|---|
Professional Name | KIT CARMIENCKE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: OR 1221 ATI) |
Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: OR 1221 ATI) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2017-09-21 |