Beasley, Genia Gail
Beasley, Genia Gail is an individual health care provider with primary practice located at 6917 Shannon Willow Road Suite 100, Charlotte NC 28226. She recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as her primary health care specialty. Beasley, Genia Gail can be contacted via phone (704) 405-1222.Contact Information
Primary practice address
6917 Shannon Willow Road Suite 100
Charlotte NC 28226
Phone: (704) 405-1222
Fax: (704) 405-1225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 1612 | North Carolina |
Profile Details
| NPI number | 1497960736 |
|---|---|
| LBN Legal business name | Beasley, Genia Gail |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2007 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497960736 | NPPES |
| North Carolina | Other | 1612 | OPTOMETRY STATE LICENSE |
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