Harrison, Stacy
Harrison, Stacy is an sole proprietor health care provider with primary practice located at 11400 51St Ave Nw , Gig Harbor WA 98332-7891. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Harrison, Stacy can be contacted via phone (253) 853-3011.Contact Information
Primary practice address
11400 51St Ave Nw
Gig Harbor WA 98332-7891
Phone: (253) 853-3011
Fax: (253) 858-9458
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3383 | Washington |
Profile Details
| NPI number | 1487873931 |
|---|---|
| LBN Legal business name | Harrison, Stacy |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1487873931 | NPPES |
| Washington | MEDICAID | 2021418 |
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