Lawrence, Jack D.
Lawrence, Jack D. is an individual health care provider with primary practice located at 150 Market Hills Dr , Boone NC 28607-3678. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lawrence, Jack D. can be contacted via phone (828) 262-1554.Contact Information
Primary practice address
150 Market Hills Dr
Boone NC 28607-3678
Phone: (828) 262-1554
Fax: (828) 268-2981
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0889 | North Carolina |
Profile Details
| NPI number | 1548267594 |
|---|---|
| LBN Legal business name | Lawrence, Jack D. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2005 |
| Last updated | Jun 17th, 2008 - about 16 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 | 1548267594 | NPPES |
| North Carolina | MEDICAID | 89-09519 | |
| North Carolina | Other | 09519 |
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