Dubourg, Louisemene

Dubourg, Louisemene is an sole proprietor health care provider with primary practice located at 1480 Fulton St 1St Floor, Brooklyn NY 11216-2505. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optician is her primary health care specialty. Dubourg, Louisemene can be contacted via phone (646) 346-3382.

Contact Information

Primary practice address
1480 Fulton St 1St Floor Brooklyn NY 11216-2505
Phone: (646) 346-3382
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT5575 New York
Eye and Vision Services Providers / Optician 156FX1800X 55 009252 New York

Profile Details

NPI number 1689928293
LBN Legal business name Dubourg, Louisemene
Credentials OPTICAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2012
Last updated Nov 4th, 2012 - about 12 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 1689928293 NPPES
New York Other 900883361 BLUE CROSS, BLUE SHIELD, AETNA, KAISER-PERMANENTE,DAVIS VISION, HEALTH FIRST.
New York MEDICAID 900883361 BLUE CROSS, BLUE SHIELD, AETNA, KAISER-PERMANENTE,DAVIS VISION, HEALTH FIRST.

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