MEDICARE: KRISTIN MONCRIEF OPTICIAN

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
1	343900000X	Non-emergency Medical Transport (VAN)
2	156FX1800X	Optician	S.11847	OH
3	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1720467277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN MONCRIEF OPTICIAN

Provider Business Mailing Address
First Line	:	4240 ASBURY DR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43612-1806
Country	:	US
Telephone Number	:	419-754-0278
Fax Number	:	419-754-0278

Provider Business Practice Location Address
First Line	:	4240 ASBURY DR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43612-1806
Country	:	US
Telephone Number	:	419-754-0278
Fax Number	:	419-754-0278

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2015
Last Update Date	:	12/12/2025

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