Peden, Trevor
Peden, Trevor is an sole proprietor health care provider with primary practice located at 503 N Main St , London KY 40741-1217. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Peden, Trevor can be contacted via phone (606) 877-1877.Contact Information
Primary practice address
503 N Main St
London KY 40741-1217
Phone: (606) 877-1877
Fax: (606) 877-0082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2246DT | Kentucky |
Profile Details
| NPI number | 1336718378 |
|---|---|
| LBN Legal business name | Peden, Trevor |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2021 |
| Last updated | Jun 23rd, 2021 - about 5 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 | 1336718378 | NPPES |
| Kentucky | Other | 2246DT | KENTUCKY OPTOMETRY LICENSE |
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