Hatfield, Lisa Ann
Hatfield, Lisa Ann is an individual health care provider with primary practice located at 3040 S Muskogee Ave Ste 109 , Tahlequah OK 74464-5485. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Hatfield, Lisa Ann can be contacted via phone (918) 431-1444.Contact Information
Primary practice address
3040 S Muskogee Ave Ste 109
Tahlequah OK 74464-5485
Phone: (918) 431-1444
Fax: (918) 431-1555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2305 | Oklahoma |
Profile Details
| NPI number | 1972585545 |
|---|---|
| LBN Legal business name | Hatfield, Lisa Ann |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Sep 16th, 2013 - about 11 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 | 1972585545 | NPPES |
| Oklahoma | MEDICAID | 100765160A | |
| Oklahoma | Other | 2605260 |
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