Cardwell, Earnest Lee

Cardwell, Earnest Lee is an sole proprietor health care provider with primary practice located at 2510 Redmond Circle , Rome GA 30165. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cardwell, Earnest Lee can be contacted via phone (706) 290-9950.

Contact Information

Primary practice address
2510 Redmond Circle Rome GA 30165
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1134T Georgia

Profile Details

NPI number 1962597443
LBN Legal business name Cardwell, Earnest Lee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1962597443 NPPES
Georgia MEDICAID 00437148B

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