Kylie Marie Divine is a Poplar Bluff, Missouri based female Optometrist with 14 years of experience in Optometry. She completed her graduation from University Of Missouri St Louis - School Of Optometry in 2010. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kylie Marie Divine is 2010020558 for Optometry in Missouri. Kylie Marie Divine 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. She 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. She 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:
Kylie Marie Divine 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:
O.D
Experience:
14+ years
Medical School Attended:
University Of Missouri St Louis - School Of Optometry
Graduation Year:
2010
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
1347 North Westwood Blvd., Poplar Bluff, Missouri, 63901
Phone:
573-712-2333
Fax:
573-712-2433
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.
PAC ID:
5193840932
Enrollment ID:
I20100916000485
NPI Number:
1558672162
NPI Enumeration Date:
29 Jun, 2010
NPI Last Update On:
27 Jan, 2017
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kylie Marie Divine are as mentioned below.
License Number
Specialization
State
Status
2010020558
Optometry
Missouri
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1347 N Westwood Blvd, Poplar Bluff, Missouri
Zip:
63901-3313
Phone Number:
573-712-2333
Fax Number:
573-712-2433
Patients can reach Kylie Marie Divine at 1347 North Westwood Blvd., Poplar Bluff, Missouri or can call to book an appointment on 573-712-2333. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.