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NPI Code Detail

MEDICARE: CYNTHIA KIERNAN OD, INC

MEDICARE: CYNTHIA KIERNAN OD, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659497923
Entity Type Code : Organization
Provider Name (Legal Business Name) : CYNTHIA KIERNAN OD, INC
Provider Business Mailing Address
First Line : 7732 ROYAL OAKS RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2017
Country : US
Telephone Number : 702-614-5435
Fax Number : 702-614-5426
Provider Business Practice Location Address
First Line : 2310 E SERENE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-3248
Country : US
Telephone Number : 702-614-5435
Fax Number : 702-614-5426
Authorized Official
Title or Position : PRESIDENT
Name : DR. CYNTHIA ANN KIERNAN
Credential : O.D.
Telephone Number : 702-614-5435
Provider Enumeration Date : 03/21/2007
Last Update Date : 10/26/2017

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Directions to “CYNTHIA KIERNAN OD, INC ” Practice Location

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