Anderson, Miriam Lorraine

Anderson, Miriam Lorraine is an individual health care provider with primary practice located at 221 Nw Mcnary Ct , Lees Summit MO 64086-4011. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Anderson, Miriam Lorraine can be contacted via phone (816) 524-8900.

Contact Information

Primary practice address
221 Nw Mcnary Ct Lees Summit MO 64086-4011
Fax: (816) 525-2042
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T02626 Missouri

Profile Details

NPI number 1629040134
LBN Legal business name Anderson, Miriam Lorraine
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Oct 26th, 2020 - about 6 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 1629040134 NPPES
Missouri Other P00096424 RAILROAD MEDICARE
Missouri Other 25420027 RAILROAD MEDICARE

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