Individual
KEVIN JAMES RITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001487
VA
152W00000X
Optometrist
Primary
2004
NC
152W00000X
Optometrist
2593
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093UM
BCBS
NC
05
—
5903112
—
NC
Enumeration date
11/30/2005
Last updated
04/25/2012
Update your record
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