Kristollari, Anisa
Kristollari, Anisa is an sole proprietor health care provider with primary practice located at 4413 Lyons Rd. Promenade Eye Care Ste 101 Next To Lenscrafters Optique, Coconut Creek FL 33073. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kristollari, Anisa can be contacted via phone (954) 975-9181.Contact Information
Primary practice address
4413 Lyons Rd. Promenade Eye Care Ste 101 Next To Lenscrafters Optique
Coconut Creek FL 33073
Phone: (954) 975-9181
Fax: (954) 975-9597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC 4633 | Florida |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6051/T2966 | Ohio |
Profile Details
| NPI number | 1760762769 |
|---|---|
| LBN Legal business name | Kristollari, Anisa |
| Credentials | OPTOMETRY DOCTOR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2011 |
| Last updated | May 21st, 2014 - about 11 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 | 1760762769 | NPPES |
| Florida | Other | OPC 4633 | FLORIDA OPTOMETRY LICENSE |
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