NPI 1609306141 · live from the CMS NPI Registry
Kyle Nicholas Kravetz, OD
Optometrist in Georgetown, DE. National Provider Identifier 1609306141, active.
NPI record
| NPI | 1609306141 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 501 College Park Ln, Georgetown, DE 19947 |
| Practice phone | 302-253-2020 |
| Mailing address | 8614 Westwood Center Dr Fl 9, Vienna, VA 22182 |
| Enumerated | June 18, 2017 |
| Last updated | July 30, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 13-0001423 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.