Cisarik, Patricia

Cisarik, Patricia is an individual health care provider with primary practice located at 1225 Madison Ave , Memphis TN 38104-2211. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Cisarik, Patricia can be contacted via phone (901) 722-3250.

Contact Information

Primary practice address
1225 Madison Ave Memphis TN 38104-2211
Phone: (901) 722-3250
Fax: (901) 722-3347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5667T Texas
Eye and Vision Services Providers / Optometrist 152W00000X OFC27 Florida
Eye and Vision Services Providers / Optometrist 152W00000X 0601001408 Virginia
Eye and Vision Services Providers / Optometrist 152W00000X 2850 Tennessee

Profile Details

NPI number 1508869009
LBN Legal business name Cisarik, Patricia
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Mar 7th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508869009 NPPES
Tennessee Other 2850 OD
Tennessee MEDICAID 1512996 OD

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