Stanley, Scott Lawrence
Stanley, Scott Lawrence is an individual health care provider with primary practice located at 371 Ne Garden Valley Blvd , Roseburg OR 97470-2039. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Stanley, Scott Lawrence can be contacted via phone (541) 673-4166.Contact Information
Primary practice address
371 Ne Garden Valley Blvd
Roseburg OR 97470-2039
Phone: (541) 673-4166
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2885AT | Oregon |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD3772 | Washington |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT11957TPA | California |
Profile Details
| NPI number | 1023009610 |
|---|---|
| LBN Legal business name | Stanley, Scott Lawrence |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | May 31st, 2011 - about 15 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 | 1023009610 | NPPES |
| Oregon | Other | 182779 | OREGON HEALTH PLAN NUMBER |
| Oregon | Other | 804858000 | OREGON HEALTH PLAN NUMBER |
Popular Providers
-
Payne, Sandy Kay
2282 Nw Troost St Ste 104 , Roseburg OR 97470-6072 -
Kitchens, Rebecca L.
4141 Ne Stephens St , Roseburg OR 97470-1161 -
Danson, Laurence Biddle
780 Nw Garden Valley Blvd #50B1, Roseburg OR 97470 -
Newton, Joyce Ann
2125 Nw Stewart Pkwy , Roseburg OR 97470-1693 -
Napier, April
2435 Nw Kline St , Roseburg OR 97471-1687 -
Deck, Bryan H
913 Nw Garden Valley Blvd , Roseburg OR 97470-6523 -
Moran, Anna M
2125 Nw Stewart Pkwy , Roseburg OR 97471-1693 -
Van Volkenburg, Lexa
341 Nw Medical Loop Ste 120 , Roseburg OR 97471-5546