Andrews, Mallory Florence
Andrews, Mallory Florence is an individual health care provider with primary practice located at 2414 Kohler Memorial Dr , Sheboygan WI 53081-3129. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Andrews, Mallory Florence can be contacted via phone (920) 459-1102.Contact Information
Primary practice address
2414 Kohler Memorial Dr
Sheboygan WI 53081-3129
Phone: (920) 459-1102
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 3506-35 | Wisconsin |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3506-35 | Wisconsin |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 3506-35 | Wisconsin |
Profile Details
| NPI number | 1780177675 |
|---|---|
| LBN Legal business name | Andrews, Mallory Florence |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2018 |
| Last updated | Nov 19th, 2021 - about 4 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 | 1780177675 | NPPES |
| Wisconsin | MEDICAID | 100080361 |
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