Jicha, Dianna Popa
Jicha, Dianna Popa is an individual health care provider with primary practice located at 3911 Fountain Grove Dr Suite 101, High Point NC 27265-8032. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Jicha, Dianna Popa can be contacted via phone (336) 889-2225.Contact Information
Primary practice address
3911 Fountain Grove Dr Suite 101
High Point NC 27265-8032
Phone: (336) 889-2225
Fax: (336) 889-2252
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1354 | North Carolina |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3886 | Ohio |
Profile Details
| NPI number | 1619951035 |
|---|---|
| LBN Legal business name | Jicha, Dianna Popa |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | May 4th, 2011 - 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 | 1619951035 | NPPES |
| Other | 0916E | BCBS | |
| Other | 1354 | BCBS | |
| MEDICAID | 2337476 | BCBS | |
| Other | 015MC | BCBS | |
| MEDICAID | 890914N | BCBS |
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