Fernandez, Lisa Andres

Fernandez, Lisa Andres is an individual health care provider with primary practice located at 1516 Summit Ave , Union City NJ 07087-1949. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Fernandez, Lisa Andres can be contacted via phone (201) 974-0401.

Contact Information

Primary practice address
1516 Summit Ave Union City NJ 07087-1949
Phone: (201) 974-0401
Fax: (201) 974-0401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 27TO00127700 New Jersey

Profile Details

NPI number 1326061656
LBN Legal business name Fernandez, Lisa Andres
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Apr 20th, 2009 - about 15 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 1326061656 NPPES
Maryland Other P00260747 MEDICARE RAILROAD
Maryland MEDICAID 0708674 MEDICARE RAILROAD
Maryland Other W16426 MEDICARE RAILROAD

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