Individual
KIMBERLY S HOYT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
215 FOURTH ST, ASHLAND, OR 97520-2043
(541) 708-5350
Mailing address
215 FOURTH ST, ASHLAND, OR 97520-2043
(541) 708-5350
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3010T
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001191008
BLUE CROSS BLUE SHIELD
—
05
—
119771
—
OR
01
—
410022266
RAILROAD MEDICARE
—
Enumeration date
12/01/2006
Last updated
11/12/2014
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