Lewis, Maci
Lewis, Maci is an sole proprietor health care provider with primary practice located at 1004 S Pine St , Cabot AR 72023-3865. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Lewis, Maci can be contacted via phone (501) 941-2222.Contact Information
Primary practice address
1004 S Pine St
Cabot AR 72023-3865
Phone: (501) 941-2222
Fax: (501) 941-2577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2811 | Arkansas |
Profile Details
| NPI number | 1962029587 |
|---|---|
| LBN Legal business name | Lewis, Maci |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2020 |
| Last updated | Nov 27th, 2023 - about 3 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 | 1962029587 | NPPES |
| Arkansas | Other | 2811 | ARKANSAS STATE OPTOMETRY LICENSE |
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