Physician Compare National (NPI:1932209731)

HEALTHCARE PROVIDER: KRISTOPHER TRENTON KILE O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1932209731
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3870673262
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080110000620
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KILE
	Individual professional last name
Provider First Name	KRISTOPHER
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1701 SUNRISE HWY
	Group Practice or individual's line 1 address
City	BAY SHORE
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	117066091
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5164324909
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y