Kyle David Koser
Individual provider Active NPI Optometric Assistant Technician · Dillsburg, PA
NPI 1265053326 · NPPES record last updated Apr 29, 2020
Key facts
- NPI
- 1265053326
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometric Assistant Technician 156FX1201X
- Practice address
- 229 Autumn Woods CT
Dillsburg, PA 17019-1398 - Phone
- (717) 982-8755
- NPI assigned
- Apr 29, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometric Assistant Technician | 156FX1201X | Yes |
Addresses
Primary practice location
229 Autumn Woods CT
Dillsburg, PA 17019-1398
Mailing address
229 Autumn Woods CT
Dillsburg, PA 17019-1398
Phone (717) 982-8755
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Direct |
Other providers in Dillsburg, PA
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- Kayla Lehman
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All providers in Dillsburg, PA · Optometric Assistant Technician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.