Pederson, Vanessa

Pederson, Vanessa is an sole proprietor health care provider with primary practice located at 4606 S Garnett Rd Ste 302 , Tulsa OK 74146-5218. She recently has only one registered license in Eye and Vision Services Providers / Ocularist, which is considered as her primary health care specialty. Pederson, Vanessa can be contacted via phone (918) 664-6544.

Contact Information

Primary practice address
4606 S Garnett Rd Ste 302 Tulsa OK 74146-5218
Phone: (918) 664-6544
Fax: (918) 664-0668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ocularist 156FX1700X

Profile Details

NPI number 1326622739
LBN Legal business name Pederson, Vanessa
Credentials B.A.D.O, B.S.O.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2021
Last updated May 11th, 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.

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