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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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