Provider Demographics
NPI:1528843604
Name:MCGUINESS, KAYLA E (OD)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:E
Last Name:MCGUINESS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 MURRAY ST LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-2212
Mailing Address - Country:US
Mailing Address - Phone:212-243-2300
Mailing Address - Fax:
Practice Address - Street 1:37 MURRAY ST LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-2212
Practice Address - Country:US
Practice Address - Phone:212-243-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00721700152W00000X
NY011049152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist