Haven, Jill Marie
Haven, Jill Marie is an sole proprietor health care provider with primary practice located at 5353 W Highway 290 Ste 102 , Austin TX 78735-0046. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Haven, Jill Marie can be contacted via phone (512) 899-2020.Contact Information
Primary practice address
5353 W Highway 290 Ste 102
Austin TX 78735-0046
Phone: (512) 899-2020
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 7500TG | Texas |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 4901004284 | Michigan |
Eye and Vision Services Providers / Optometrist | 152W00000X | 7500TG | Texas |
Profile Details
NPI number | 1265433924 |
---|---|
LBN Legal business name | Haven, Jill Marie |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 3rd, 2005 |
Last updated | Feb 28th, 2022 - about 2 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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