Stanley, Jennifer S

Stanley, Jennifer S is an individual health care provider with primary practice located at 3040 W Bearss Ave , Tampa FL 33618-1811. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Stanley, Jennifer S can be contacted via phone (813) 264-2020.

Contact Information

Primary practice address
3040 W Bearss Ave Tampa FL 33618-1811
Phone: (813) 264-2020
Fax: (813) 964-5734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC2736 Florida

Profile Details

NPI number 1730181207
LBN Legal business name Stanley, Jennifer S
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Jan 9th, 2018 - about 8 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 1730181207 NPPES
Florida MEDICAID 620012500

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