Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. IAN THORSTEN KIRSTE, O.D.
ActiveDR. IAN THORSTEN KIRSTE, O.D. is a Optometrist healthcare provider located in AZTEC, New Mexico. NPI 1770546657 is currently active in the NPPES registry. Verify at CMS.
Optometrist · AZTEC, NM
Registration Details
- NPI Number
- 1770546657
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2006 (20.364835700565 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
424 (NM)424 (NM)424 (NM)424 (NM)424 (NM)
Practice Information
- Address
-
121 S MAIN AVEAZTEC, NM, 874102120Browse NM providers · Browse ZIP 87410
- Phone
- 5053337278
- Fax
- 5053959287
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Occupational Vision Optometrist
- Additional Specialty
- Optometrist
- Additional Specialty
- Corneal & Contact Management Optometrist
- Additional Specialty
- Low Vision Rehabilitation Optometrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.