Lesslie, Jennifer Maize

Lesslie, Jennifer Maize is an individual health care provider with primary practice located at 1370 Remount Road Suite B, North Charleston SC 29406. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Lesslie, Jennifer Maize can be contacted via phone (843) 747-7663.

Contact Information

Primary practice address
1370 Remount Road Suite B North Charleston SC 29406
Phone: (843) 747-7663
Fax: (843) 747-7665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1131 South Carolina

Profile Details

NPI number 1518052083
LBN Legal business name Lesslie, Jennifer Maize
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Nov 2nd, 2011 - about 15 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 1518052083 NPPES
South Carolina MEDICAID D11315

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