Henry, Amy Dearixon
Henry, Amy Dearixon is an sole proprietor health care provider with primary practice located at 6380 N Navarro St , Victoria TX 77904-1721. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Henry, Amy Dearixon can be contacted via phone (361) 570-2010.Contact Information
Primary practice address
6380 N Navarro St
Victoria TX 77904-1721
Phone: (361) 570-2010
Fax: (361) 570-2012
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 5649T | Texas |
Profile Details
NPI number | 1770687840 |
---|---|
LBN Legal business name | Henry, Amy Dearixon |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 11th, 2006 |
Last updated | Mar 8th, 2012 - about 13 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 | 1770687840 | NPPES |
Texas | Other | 5649T | TEXAS OPTOMETRY LICENSE |
Texas | Other | 8210SQ | TEXAS OPTOMETRY LICENSE |
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