Overton, Stacie

Overton, Stacie is an individual health care provider with primary practice located at 1890 Old Country Rd , Riverhead NY 11901-4453. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Overton, Stacie can be contacted via phone (631) 369-9055.

Contact Information

Primary practice address
1890 Old Country Rd Riverhead NY 11901-4453
Phone: (631) 369-9055
Fax: (631) 727-2137
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 9957 New York

Profile Details

NPI number 1093222036
LBN Legal business name Overton, Stacie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2017
Last updated Dec 29th, 2017 - about 9 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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