Eiselman, Eric J

Eiselman, Eric J is an individual health care provider with primary practice located at 4101 Evans Ave , Fort Myers FL 33901. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Eiselman, Eric J can be contacted via phone (239) 939-3456.

Contact Information

Primary practice address
4101 Evans Ave Fort Myers FL 33901
Phone: (239) 939-3456
Fax: (239) 790-2432
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC4019 Florida

Profile Details

NPI number 1073576013
LBN Legal business name Eiselman, Eric J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jan 13th, 2014 - about 10 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 1073576013 NPPES
Florida Other 28555 BLUE CROSS BLUE SHIELD
Florida Other U6716X BLUE CROSS BLUE SHIELD
Florida Other 3704895 BLUE CROSS BLUE SHIELD
Florida MEDICAID 621060100 BLUE CROSS BLUE SHIELD
Florida Other 7655726 BLUE CROSS BLUE SHIELD

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