Coleman, Justin Eric
Coleman, Justin Eric is an individual health care provider with primary practice located at 25 Sterling Way Ste C, Mount Sterling KY 40353-1174. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Coleman, Justin Eric can be contacted via phone (859) 498-4800.Contact Information
Primary practice address
25 Sterling Way Ste C
Mount Sterling KY 40353-1174
Phone: (859) 498-4800
Fax: (859) 498-2021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1938DT | Kentucky |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1938DT | Kentucky |
Profile Details
| NPI number | 1922440494 |
|---|---|
| LBN Legal business name | Coleman, Justin Eric |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2013 |
| Last updated | Aug 23rd, 2019 - about 5 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 | 1922440494 | NPPES |
| Kentucky | MEDICAID | 7100261660 |
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