Gupta, Mita
Gupta, Mita is an sole proprietor health care provider with primary practice located at 8912 Centreville Rd , Manassas VA 20110-8455. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Gupta, Mita can be contacted via phone (703) 361-6151.Contact Information
Primary practice address
8912 Centreville Rd
Manassas VA 20110-8455
Phone: (703) 361-6151
Fax: (703) 361-1750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618001643 | Virginia |
Profile Details
| NPI number | 1912977646 |
|---|---|
| LBN Legal business name | Gupta, Mita |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Dec 15th, 2009 - about 17 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 | 1912977646 | NPPES |
| Virginia | MEDICAID | 1912977646 |
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