Provider Demographics
NPI:1194833673
Name:RINKOWSKI, KAI (OD)
Entity Type:Individual
Prefix:DR
First Name:KAI
Middle Name:
Last Name:RINKOWSKI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2339 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35244-2238
Mailing Address - Country:US
Mailing Address - Phone:205-987-0156
Mailing Address - Fax:205-987-0515
Practice Address - Street 1:2181 PELHAM PARKWAY
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-1119
Practice Address - Country:US
Practice Address - Phone:205-987-0156
Practice Address - Fax:205-987-0515
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-740-TA-262152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
924355OtherHEALTH SPRING ALABAMA
25437OtherBCBS OF ALABAMA
924355OtherHEALTH SPRING ALABAMA
58379Medicare ID - Type Unspecified