Provider Demographics
NPI:1215139282
Name:MACRINA, KATHLEEN MARGARET (OD)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:MARGARET
Last Name:MACRINA
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:5781 HAMMOCK ISLES DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-4695
Mailing Address - Country:US
Mailing Address - Phone:239-272-9031
Mailing Address - Fax:239-596-0030
Practice Address - Street 1:6275 NAPLES BLVD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-2030
Practice Address - Country:US
Practice Address - Phone:239-596-6414
Practice Address - Fax:239-596-0030
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLFLOPC0000002862152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist