Provider Demographics
NPI:1922865138
Name:NUNEZ COMPRES, KELVIN ALBERTO (OD)
Entity Type:Individual
Prefix:
First Name:KELVIN
Middle Name:ALBERTO
Last Name:NUNEZ COMPRES
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 1:116 REGENCY BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-4644
Mailing Address - Country:US
Mailing Address - Phone:917-724-1454
Mailing Address - Fax:
Practice Address - Street 1:116 REGENCY BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-4644
Practice Address - Country:US
Practice Address - Phone:252-754-2020
Practice Address - Fax:252-493-0100
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2790152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist