Dr. Lisa Ann Mckim
Optometrist
1707 W 23rd St
Panama City
, Florida 32405-2916
Dr. Lisa Ann Mckim
Optometrist
1707 W 23rd St
Panama City
, Florida 32405-2916
(813) 777-1415
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Lisa Ann Mckim
- 4417 Raptor Cir
- Tyndall Afb, FL
- Zip : 32403-1063
- Phone : (813) 777-1415
Second Address
- Dr. Lisa Ann Mckim
- 1707 W 23rd St
- Panama City, FL
- Zip : 32405-2916
- Phone : (850) 769-4747
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC 4506 | FL |
National Provider Identifier
| NPI | 1013192350 |
|---|---|
| Provider Name | Dr. Lisa Ann Mckim |
| First Address | Tyndall Afb, FL 32403-1063 |
| Second Address | Panama City, FL 32405-2916 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/01/2008 |
| Last Update Date | 25/10/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U71919 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.