Brumley, Audrey H
Brumley, Audrey H is an sole proprietor health care provider with primary practice located at 443 Sw Evergreen Ave , Redmond OR 97756-2817. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Brumley, Audrey H can be contacted via phone (541) 923-2221.Contact Information
Primary practice address
443 Sw Evergreen Ave
Redmond OR 97756-2817
Phone: (541) 923-2221
Fax: (541) 923-3776
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3490ATI | Oregon |
Profile Details
| NPI number | 1457790248 |
|---|---|
| LBN Legal business name | Brumley, Audrey H |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2013 |
| Last updated | Dec 6th, 2022 - about 4 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 | 1457790248 | NPPES |
| Oregon | MEDICAID | 500658602 |
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