Washburn, Kristi Renee
Washburn, Kristi Renee is an sole proprietor health care provider with primary practice located at 1520 S Broadway St , Sulphur Springs TX 75482-4922. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Vision Therapy is her primary health care specialty. Washburn, Kristi Renee can be contacted via phone (903) 885-7999.Contact Information
Primary practice address
1520 S Broadway St
Sulphur Springs TX 75482-4922
Phone: (903) 885-7999
Fax: (903) 439-6322
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 5932TG | Texas |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 5932TG | Texas |
Profile Details
| NPI number | 1386626430 |
|---|---|
| LBN Legal business name | Washburn, Kristi Renee |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Jun 28th, 2016 - about 10 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 | 1386626430 | NPPES |
| Texas | MEDICAID | 0930075-01 | |
| Texas | MEDICAID | P08820K04 |
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