Chiles, Lisa B
Chiles, Lisa B is an individual health care provider with primary practice located at 1235 E Harmont Dr , Phoenix AZ 85020-3864. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Chiles, Lisa B can be contacted via phone (602) 331-1470.Contact Information
Primary practice address
1235 E Harmont Dr
Phoenix AZ 85020-3864
Phone: (602) 331-1470
Fax: (602) 678-5819
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618001146 | Virginia |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 1575 | Virginia |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1575 | Arizona |
Profile Details
| NPI number | 1922077189 |
|---|---|
| LBN Legal business name | Chiles, Lisa B |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Feb 12th, 2024 - about last year |
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 | 1922077189 | NPPES |
| Virginia | MEDICAID | 010073685 |
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