Individual
DR. LINDSEY JON KINTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
517 LINCOLN WAY E, MISHAWAKA, IN 46544-2211
(574) 255-1231
(574) 255-4182
Mailing address
517 LINCOLN WAY E, MISHAWAKA, IN 46544-2211
(574) 255-1231
(574) 255-4182
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002941B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093320
BLUE CROSS BLUE SHIELD
IN
01
—
1538242888
NPI
IN
05
—
200169720A
—
IN
01
—
239740B
EMPLOYEE MEDICARE UPIN TO LINK HER TO DR LINDSEY
IN
Enumeration date
10/23/2006
Last updated
11/12/2012
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