Cavender, David E
Cavender, David E is an individual health care provider with primary practice located at 1700 E West Rd , Calumet City IL 60409-5415. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cavender, David E can be contacted via phone (708) 891-3330.Contact Information
Primary practice address
1700 E West Rd
Calumet City IL 60409-5415
Phone: (708) 891-3330
Fax: (708) 891-0904
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 046008327 | Illinois |
Profile Details
NPI number | 1356413173 |
---|---|
LBN Legal business name | Cavender, David E |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 15th, 2006 |
Last updated | Mar 26th, 2014 - about 11 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 | 1356413173 | NPPES |
Illinois | Other | 436350006 | MEDICARE PTAN |
Illinois | MEDICAID | 046008327 | MEDICARE PTAN |
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