Individual
DR. KATHRYN A CIZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3830 W FRONT ST, CEDAR RUN EYE CENTER, TRAVERSE CITY, MI 49684-8153
(231) 929-3888
(231) 929-4365
Mailing address
3830 WEST FRONT ST., CEDAR RUN EYE CENTER, TRAVERSE CITY, MI 49684-8868
(231) 929-3888
(231) 929-4365
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003094
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1020070001
DMERC REG B
MI
01
—
900B86347
BLUE CROSS BLUE SHIELD
MI
05
—
943166469
—
MI
01
—
CN1586
RAILROAD MEDICARE
MI
Enumeration date
08/31/2005
Last updated
02/01/2012
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