Lane, Justin David
Lane, Justin David is an individual health care provider with primary practice located at 1345 Western Blvd Ste 120B , Jacksonville NC 28546-7627. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lane, Justin David can be contacted via phone (910) 376-8229.Contact Information
Primary practice address
1345 Western Blvd Ste 120B
Jacksonville NC 28546-7627
Phone: (910) 376-8229
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2030 | North Carolina |
Profile Details
| NPI number | 1235270174 |
|---|---|
| LBN Legal business name | Lane, Justin David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Nov 27th, 2016 - about 10 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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