Deemer, Bethanie H

Deemer, Bethanie H is an individual health care provider with primary practice located at 8877 W Union Hills Dr Ste 460 , Peoria AZ 85382-8003. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Deemer, Bethanie H can be contacted via phone (623) 256-0400.

Contact Information

Primary practice address
8877 W Union Hills Dr Ste 460 Peoria AZ 85382-8003
Fax: (623) 376-6800
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X AZ1300 Arizona
Eye and Vision Services Providers / Optometrist 152W00000X 12477T California

Profile Details

NPI number 1588659213
LBN Legal business name Deemer, Bethanie H
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated May 16th, 2013 - about 13 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 1588659213 NPPES
Arizona MEDICAID 084323

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