Costa, Angela Fahey

Costa, Angela Fahey is an sole proprietor health care provider with primary practice located at 138 E Reynolds Rd Suite #101, Lexington KY 40517-1257. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Costa, Angela Fahey can be contacted via phone (859) 273-2020.

Contact Information

Primary practice address
138 E Reynolds Rd Suite #101 Lexington KY 40517-1257
Phone: (859) 273-2020
Fax: (859) 272-8089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Pediatrics 152WP0200X 1661DT Kentucky
Eye and Vision Services Providers / Optometrist 152W00000X 1661DT Kentucky

Profile Details

NPI number 1437169810
LBN Legal business name Costa, Angela Fahey
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Aug 21st, 2018 - about 6 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 1437169810 NPPES
Georgia Other OPT002576 GEORGIA LICENSE
Georgia Other 1661DT GEORGIA LICENSE

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