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
Fax: (541) 779-9853
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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