Chiles, Lisa B

Chiles, Lisa B is an individual health care provider with primary practice located at 1235 E Harmont Dr , Phoenix AZ 85020-3864. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Chiles, Lisa B can be contacted via phone (602) 331-1470.

Contact Information

Primary practice address
1235 E Harmont Dr Phoenix AZ 85020-3864
Phone: (602) 331-1470
Fax: (602) 678-5819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618001146 Virginia
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 1575 Virginia
Eye and Vision Services Providers / Optometrist 152W00000X 1575 Arizona

Profile Details

NPI number 1922077189
LBN Legal business name Chiles, Lisa B
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Feb 12th, 2024 - about last year

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 1922077189 NPPES
Virginia MEDICAID 010073685

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