Roy, Mark Joseph
Roy, Mark Joseph is an individual health care provider with primary practice located at 640 Saint Charles St , Thibodaux LA 70301-3422. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Roy, Mark Joseph can be contacted via phone (985) 446-1717.Contact Information
Primary practice address
640 Saint Charles St
Thibodaux LA 70301-3422
Phone: (985) 446-1717
Fax: (985) 446-9542
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1354-488T | Louisiana |
Profile Details
| NPI number | 1851360424 |
|---|---|
| LBN Legal business name | Roy, Mark Joseph |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jul 21st, 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 | 1851360424 | NPPES |
| Louisiana | MEDICAID | 1128015 |
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