Individual
KRISTEN EPTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
703 RUTTER AVE, KINGSTON, PA 18704-4801
(570) 288-7405
(570) 288-7406
Mailing address
703 RUTTER AVE, KINGSTON, PA 18704-4801
(570) 288-7405
(570) 288-7406
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00657200
NJ
152W00000X
Optometrist
Primary
OEG002793
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102840306
—
PA
01
—
12564334
CAQH PROVIDER NUMBER
PA
Enumeration date
07/03/2013
Last updated
07/21/2022
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