Boucher, Deambra Lea
Boucher, Deambra Lea is an individual health care provider with primary practice located at 13900 E Us Highway 40 Ste A , Independence MO 64055-5877. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Boucher, Deambra Lea can be contacted via phone (816) 478-0500.Contact Information
Primary practice address
13900 E Us Highway 40 Ste A
Independence MO 64055-5877
Phone: (816) 478-0500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2006016870 | Missouri |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1712 | Kansas |
Profile Details
| NPI number | 1972683746 |
|---|---|
| LBN Legal business name | Boucher, Deambra Lea |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| 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.
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