Staats, Jared
Staats, Jared is an individual health care provider with primary practice located at 905 Stevens Creek Rd , Augusta GA 30907-3201. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Staats, Jared can be contacted via phone (706) 922-6000.Contact Information
Primary practice address
905 Stevens Creek Rd
Augusta GA 30907-3201
Phone: (706) 922-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18003977 | Indiana |
Profile Details
| NPI number | 1679924542 |
|---|---|
| LBN Legal business name | Staats, Jared |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2016 |
| Last updated | Mar 20th, 2020 - about 6 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 | 1679924542 | NPPES |
| Indiana | MEDICAID | 201367680 |
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