Espat Reich, Maria Shajida
Espat Reich, Maria Shajida is an sole proprietor health care provider with primary practice located at 55 E Stewart Ave Ste B , Medford OR 97501-7944. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Espat Reich, Maria Shajida can be contacted via phone (541) 779-9851.Contact Information
Primary practice address
55 E Stewart Ave Ste B
Medford OR 97501-7944
Phone: (541) 779-9851
Fax: (541) 779-9853
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 2640AT | Oregon |
Profile Details
NPI number | 1164415295 |
---|---|
LBN Legal business name | Espat Reich, Maria Shajida |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 24th, 2005 |
Last updated | Jun 16th, 2020 - about 5 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 | 1164415295 | NPPES |
Other | 205038 | COLE MANAGED VISION | |
Other | 111673 | COLE MANAGED VISION | |
Other | 410048870 | COLE MANAGED VISION | |
MEDICAID | 150518 | COLE MANAGED VISION | |
Other | 150518 | COLE MANAGED VISION |
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