Bailey, Patricia Lynn
Bailey, Patricia Lynn is an sole proprietor health care provider with primary practice located at 2469 W Us Highway 90 # A-27 , Lake City FL 32055-4738. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bailey, Patricia Lynn can be contacted via phone (386) 515-8647.Contact Information
Primary practice address
2469 W Us Highway 90 # A-27
Lake City FL 32055-4738
Phone: (386) 515-8647
Fax: (386) 361-7819
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OP0003121 | Florida |
Profile Details
| NPI number | 1942351218 |
|---|---|
| LBN Legal business name | Bailey, Patricia Lynn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2007 |
| Last updated | Aug 25th, 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 | 1942351218 | NPPES |
| Florida | MEDICAID | 620647600 |
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