Bean, Stacy E

Bean, Stacy E is an sole proprietor health care provider with primary practice located at 40 Enon St , Beverly MA 01915-1168. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bean, Stacy E can be contacted via phone (978) 922-7120.

Contact Information

Primary practice address
40 Enon St Beverly MA 01915-1168
Phone: (978) 922-7120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3778 Massachusetts

Profile Details

NPI number 1164498572
LBN Legal business name Bean, Stacy E
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2006
Last updated May 25th, 2016 - about 10 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 1164498572 NPPES
Massachusetts MEDICAID 0392057

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