Allen, Sushmita De

Allen, Sushmita De is an sole proprietor health care provider with primary practice located at 205A Hillstone Pl , Jamestown NC 27282-2000. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Allen, Sushmita De can be contacted via phone (336) 454-5151.

Contact Information

Primary practice address
205A Hillstone Pl Jamestown NC 27282-2000
Fax: (336) 841-2062
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1254 North Carolina

Profile Details

NPI number 1891706511
LBN Legal business name Allen, Sushmita De
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2006
Last updated Oct 2nd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891706511 NPPES
Other 2200711 UHC
Other 0901G UHC
MEDICAID 890901G UHC

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