Avery, Dwight L
Avery, Dwight L is an individual health care provider with primary practice located at 941 N Main Street , Hazard KY 41701. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Avery, Dwight L can be contacted via phone (606) 439-4010.Contact Information
Primary practice address
941 N Main Street
Hazard KY 41701
Phone: (606) 439-4010
Fax: (606) 439-0880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1120OT | Kentucky |
Profile Details
| NPI number | 1992883243 |
|---|---|
| LBN Legal business name | Avery, Dwight L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Nov 6th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992883243 | NPPES |
| Kentucky | MEDICAID | 77011203 |
Popular Providers
-
Varley, Richard W
508 W Chickasha Ave , Chickasha OK 73018-2412 -
Keplinger, Brian Leigh
15 Grandview Dr Ste D, Frankfort KY 40601-3235 -
Mothershed, Fred H
3353 N Gloster St , Tupelo MS 38804-9735 -
Cloyd, Frances G
709 S Riverside Ave , Medford OR 97501-7837 -
Schrader-Moore, Sandra
202 W Center St , Lexington NC 27292-3012 -
Eckard, Dax M
3353 N Gloster St , Tupelo MS 38804-9735 -
Davidson, Charles Jordan
1824 N Main St , Hazard KY 41701-1020 -
Roth, Reed T
28370 Kensington Ln Suite A, Perrysburg OH 43551-4163