Dr. Kenton L Lilyquist is a Elizabeth City, North Carolina based male Optometrist who is specialized in Optometry. Active license number of Dr. Kenton L Lilyquist is 0897 for Optometry in North Carolina. Dr. Kenton L Lilyquist examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Kenton L Lilyquist speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Gender:
Male
Practice Address:
1813 W Ehringhaus St, Elizabeth City, North Carolina, 27909-4555
Phone:
252-333-1155
Fax:
252-451-5330
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1720025141
NPI Enumeration Date:
02 Jun, 2006
NPI Last Update On:
03 Jun, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenton L Lilyquist are as mentioned below.
License Number
Specialization
State
Status
0897
Optometry
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kenton L Lilyquist such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
09533
Other
North Carolina
BCBSNC INDIVIDUAL NUMBER
8909533
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1813 W Ehringhaus St, Elizabeth City, North Carolina
Zip:
27909-4555
Phone Number:
252-333-1155
Fax Number:
252-451-5330
Patients can reach Dr. Kenton L Lilyquist at 1813 W Ehringhaus St, Elizabeth City, North Carolina or can call to book an appointment on 252-333-1155. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.