Provider Demographics
NPI:1457997058
Name:KRISTYNIK EYE CARE PLLC
Entity Type:Organization
Organization Name:KRISTYNIK EYE CARE PLLC
Other - Org Name:BLINC EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:KRISTYNIK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:936-362-5462
Mailing Address - Street 1:791 FISH CREEK THOROUGHFARE
Mailing Address - Street 2:SUITE 50
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77316
Mailing Address - Country:US
Mailing Address - Phone:936-362-5462
Mailing Address - Fax:
Practice Address - Street 1:791 FISH CREEK THOROUGHFARE
Practice Address - Street 2:SUITE 50
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77316
Practice Address - Country:US
Practice Address - Phone:936-362-5462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-19
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty