Kinzy Kanisha Frizzle, OD is a 
Optometrist based in Stickney, Illinois. Kinzy Kanisha Frizzle is licensed to practice in Illinois (license number 046.010892) and her current practice location is 
4401 S Harlem Ave, Stickney, Illinois. She can be reached at her office (for appointments etc.) via phone at 
(708) 788-3400.
NPI number for Kinzy Kanisha Frizzle is 1699158949 and her current mailing address is 4401 S Harlem Ave, Stickney, Illinois. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699158949.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Kinzy Kanisha Frizzle | 
|---|
| Gender | Female | 
|---|
| Speciality | Optometrist | 
|---|
| Location | 4401 S Harlem Ave, Stickney, Illinois | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1699158949
 - Provider Enumeration Date: 07/06/2015
 - Last Update Date: 04/26/2017
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Kinzy Kanisha Frizzle such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1699158949 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 152W00000X | Optometrist  | 046.010892 (Illinois) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kinzy Kanisha Frizzle is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Kinzy Kanisha Frizzle, OD 4401 S Harlem Ave, Stickney, IL 60402-4250 Ph: (708) 788-3400 | Kinzy Kanisha Frizzle, OD 4401 S Harlem Ave, Stickney, IL 60402-4250 Ph: (708) 788-3400 | 
		
		 
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