Mazza, Lori Ann
Mazza, Lori Ann is an individual health care provider with primary practice located at 6802 Forest Hill Blvd , Greenacres FL 33413-3353. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mazza, Lori Ann can be contacted via phone (561) 439-2020.Contact Information
Primary practice address
6802 Forest Hill Blvd
Greenacres FL 33413-3353
Phone: (561) 439-2020
Fax: (561) 642-0445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC0002875 | Florida |
Profile Details
| NPI number | 1154393098 |
|---|---|
| LBN Legal business name | Mazza, Lori Ann |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 4th, 2006 |
| Last updated | Jul 21st, 2010 - about 16 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 | 1154393098 | NPPES |
| Florida | MEDICAID | 620803700 |
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