Myers, Mark Rolland

Myers, Mark Rolland is an individual health care provider with primary practice located at 109 Caroline Ave , Pikeville KY 41501-1101. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Myers, Mark Rolland can be contacted via phone (606) 437-7587.

Contact Information

Primary practice address
109 Caroline Ave Pikeville KY 41501-1101
Fax: (606) 437-7035
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 966DT Kentucky

Profile Details

NPI number 1639117443
LBN Legal business name Myers, Mark Rolland
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jan 15th, 2009 - about 17 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 1639117443 NPPES
Kentucky MEDICAID 77009660

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