Edick, James Laurence
Edick, James Laurence is an sole proprietor health care provider with primary practice located at 5 W High St , Mount Vernon OH 43050-3282. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Edick, James Laurence can be contacted via phone (740) 397-3355.Contact Information
Primary practice address
5 W High St
Mount Vernon OH 43050-3282
Phone: (740) 397-3355
Fax: (740) 397-2843
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3795 | Ohio |
Profile Details
| NPI number | 1679629521 |
|---|---|
| LBN Legal business name | Edick, James Laurence |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Mar 28th, 2008 - about 17 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 | 1679629521 | NPPES |
| Ohio | MEDICAID | 0850431 |
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