Provider Demographics
NPI:1154206217
Name:CARINI, KRISTIN ANN (LICENSED OPTICIAN)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:ANN
Last Name:CARINI
Suffix:
Gender:F
Credentials:LICENSED OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2753 SQUIRES ST
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-9227
Mailing Address - Country:US
Mailing Address - Phone:775-690-4102
Mailing Address - Fax:
Practice Address - Street 1:3200 MARKET ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-7984
Practice Address - Country:US
Practice Address - Phone:775-883-6578
Practice Address - Fax:775-883-6586
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician