Individual
DR. DAVID ALA KYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1055 W BARAGA AVE, MARQUETTE, MI 49855-4068
(906) 228-8808
(906) 228-9022
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003683
MI
152WC0802X
Corneal and Contact Management Optometrist
4901003683
MI
152WP0200X
Pediatric Optometrist
4901003683
MI
152WS0006X
Sports Vision Optometrist
4901003683
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383326048
EINNUMBER
MI
05
—
94-3319568
—
MI
01
—
95OE265210
BLUECROSSBLUESHIELD
MI
01
—
MO34439
TRICARE
MI
Enumeration date
01/10/2007
Last updated
02/06/2023
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