Ball-Thomas, Marguerite Ellen
Ball-Thomas, Marguerite Ellen is an individual health care provider with primary practice located at 1935 State Road 436 , Winter Park FL 32792-2244. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Ball-Thomas, Marguerite Ellen can be contacted via phone (407) 671-0960.Contact Information
Primary practice address
1935 State Road 436
Winter Park FL 32792-2244
Phone: (407) 671-0960
Fax: (407) 677-6696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPC0002336 | Florida |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | OPC0002336 | Florida |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC0002336 | Florida |
Profile Details
| NPI number | 1477531317 |
|---|---|
| LBN Legal business name | Ball-Thomas, Marguerite Ellen |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 31st, 2005 |
| Last updated | Oct 11th, 2022 - about 3 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 | 1477531317 | NPPES |
| Florida | Other | UNITED HEALTH CARE | 201602 |
| Florida | Other | 0625244 | 201602 |
| Florida | MEDICAID | 084796800 | 201602 |
| Florida | Other | A005 | 201602 |
| Florida | Other | 4401350 | 201602 |
| Florida | Other | 0912730001 | 201602 |
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