Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 4901004014 | MI |
N | 152WL0500X | Optomitrist - Low Vision Rehabilitation | 4901004014 | MI |
NPI | 1003811605 |
---|---|
Provider Name | Dr. John Earl Kaminski |
First Address | Midland, MI 48640-4717 |
Second Address | Midland, MI 48640-4717 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2005 |
Last Update Date | 08/07/2007 |