Henry, Noel
Henry, Noel is an sole proprietor health care provider with primary practice located at 2855 N Old Lake Wilson Road Located Inside Walmart 5214, Kissimmee FL 34747-1821. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Henry, Noel can be contacted via phone (407) 654-0181.Contact Information
Primary practice address
2855 N Old Lake Wilson Road Located Inside Walmart 5214
Kissimmee FL 34747-1821
Phone: (407) 654-0181
Fax: (407) 877-4471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3970 | Florida |
Profile Details
| NPI number | 1871612408 |
|---|---|
| LBN Legal business name | Henry, Noel |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Feb 7th, 2018 - about 7 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 | 1871612408 | NPPES |
| Florida | Other | 27451 | SPECTERA & UNITED # |
| Florida | MEDICAID | 621002300 | SPECTERA & UNITED # |
| Florida | Other | 3330 | SPECTERA & UNITED # |
| Florida | Other | 51694 | SPECTERA & UNITED # |
| Florida | Other | 919009 | SPECTERA & UNITED # |
| Florida | Other | AO2695 | SPECTERA & UNITED # |
| Florida | Other | 196608 | SPECTERA & UNITED # |
| Florida | Other | K9038 | SPECTERA & UNITED # |
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