Mccaffrey, Civia Elizabeth

Mccaffrey, Civia Elizabeth is an sole proprietor health care provider with primary practice located at 1700 N Buffalo Dr Ste 103 , Las Vegas NV 89128-2677. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mccaffrey, Civia Elizabeth can be contacted via phone (702) 732-2020.

Contact Information

Primary practice address
1700 N Buffalo Dr Ste 103 Las Vegas NV 89128-2677
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 551 Nevada

Profile Details

NPI number 1104935972
LBN Legal business name Mccaffrey, Civia Elizabeth
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated May 24th, 2012 - about 14 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 1104935972 NPPES
Nevada MEDICAID 100510610

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