Conroy, Scott Robert

Conroy, Scott Robert is an sole proprietor health care provider with primary practice located at 5854B Eastex Fwy , Beaumont TX 77708-4824. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Conroy, Scott Robert can be contacted via phone (409) 899-1177.

Contact Information

Primary practice address
5854B Eastex Fwy Beaumont TX 77708-4824
Phone: (409) 899-1177
Fax: (409) 899-4115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4244T Texas

Profile Details

NPI number 1366555229
LBN Legal business name Conroy, Scott Robert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2006
Last updated Jul 1st, 2011 - about 13 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 1366555229 NPPES
Texas Other 20563 SPECTERA
Texas Other 760564863 SPECTERA
Texas MEDICAID 019201501 SPECTERA
Texas Other 55927 SPECTERA
Texas Other VTX000755 SPECTERA
Texas Other 24FD SPECTERA
Texas Other 613548 SPECTERA

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