Eisenberg, Lester
Eisenberg, Lester is an sole proprietor health care provider with primary practice located at 3534 E Lancaster Ave , Fort Worth TX 76103-2504. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Eisenberg, Lester can be contacted via phone (817) 534-2771.Contact Information
Primary practice address
3534 E Lancaster Ave
Fort Worth TX 76103-2504
Phone: (817) 534-2771
Fax: (817) 531-1909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3028TG | Texas |
Profile Details
| NPI number | 1316934136 |
|---|---|
| LBN Legal business name | Eisenberg, Lester |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Apr 28th, 2008 - about 16 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 | 1316934136 | NPPES |
| Texas | MEDICAID | 112365502 |
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