Vizzari, Laura Ann

Vizzari, Laura Ann is an sole proprietor health care provider with primary practice located at 1180 Nikki View Dr , Brandon FL 33511-4868. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Vizzari, Laura Ann can be contacted via phone (813) 651-1400.

Contact Information

Primary practice address
1180 Nikki View Dr Brandon FL 33511-4868
Phone: (813) 651-1400
Fax: (813) 651-0697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC3737 Florida

Profile Details

NPI number 1013907914
LBN Legal business name Vizzari, Laura Ann
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2005
Last updated Apr 3rd, 2009 - about 17 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 1013907914 NPPES
Florida Other 293872 AVMED
Florida MEDICAID 620792800 AVMED

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