Starchville, Jonathan Michael

Starchville, Jonathan Michael is an individual health care provider with primary practice located at 2301 S Hampton Rd Ste 500 , Dallas TX 75224-1654. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Starchville, Jonathan Michael can be contacted via phone (214) 330-3937.

Contact Information

Primary practice address
2301 S Hampton Rd Ste 500 Dallas TX 75224-1654
Fax: (214) 330-3939
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 8708TG Texas
Eye and Vision Services Providers / Optometrist 152W00000X 8708TG Texas

Profile Details

NPI number 1427430594
LBN Legal business name Starchville, Jonathan Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2015
Last updated Apr 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427430594 NPPES
Texas MEDICAID 3488587

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