NPI 1134500200

Eric Kitzmann, OD

Practitioner Optometrist Davenport, IA

Practice location

Address: 4310 E 53rd St, Davenport, IA 52807-3039
Phone: (563) 324-2020

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 078446 (IA)

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Registry record

NPI: 1134500200
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2015
Record last updated: 15 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.