St Pierre, Lee Andrew

St Pierre, Lee Andrew is an sole proprietor health care provider with primary practice located at 2917 Browns Ln , Jonesboro AR 72401-7203. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. St Pierre, Lee Andrew can be contacted via phone (870) 802-2020.

Contact Information

Primary practice address
2917 Browns Ln Jonesboro AR 72401-7203
Fax: (870) 931-7976
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2459 Arkansas

Profile Details

NPI number 1770579179
LBN Legal business name St Pierre, Lee Andrew
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2005
Last updated Feb 28th, 2013 - about 13 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 1770579179 NPPES
Arkansas MEDICAID 134079722
Arkansas Other 49327

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