Easter, Sandra L
Easter, Sandra L is an sole proprietor health care provider with primary practice located at 610 N Twneast Blvd Ste 100 , Mesquite TX 75150-4705. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is her primary health care specialty. Easter, Sandra L can be contacted via phone (972) 279-2020.Contact Information
Primary practice address
610 N Twneast Blvd Ste 100
Mesquite TX 75150-4705
Phone: (972) 279-2020
Fax: (972) 279-2637
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | KS1547 | Kansas |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | ||
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5699 | Texas |
Profile Details
| NPI number | 1871686055 |
|---|---|
| LBN Legal business name | Easter, Sandra L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Nov 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871686055 | NPPES |
| Kansas | MEDICAID | 100343690B |
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