Lavely, David Michael
Lavely, David Michael is an individual health care provider with primary practice located at 4009 Brassfield Dr , Rocky Mount NC 27803-1529. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lavely, David Michael can be contacted via phone (252) 451-2270.Contact Information
Primary practice address
4009 Brassfield Dr
Rocky Mount NC 27803-1529
Phone: (252) 451-2270
Fax: (252) 451-2931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1334 | North Carolina |
Profile Details
| NPI number | 1699777870 |
|---|---|
| LBN Legal business name | Lavely, David Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1699777870 | NPPES |
| North Carolina | MEDICAID | 890904E |
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