Le, Tiffany
Le, Tiffany is an individual health care provider with primary practice located at 4540 Main St , Shallotte NC 28459-3079. She recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Le, Tiffany can be contacted via phone (910) 754-3358.Contact Information
Primary practice address
4540 Main St
Shallotte NC 28459-3079
Phone: (910) 754-3358
Fax: (910) 154-9326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1913 | North Carolina |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1913 | North Carolina |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 1913 | North Carolina |
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 1913 | North Carolina |
Profile Details
| NPI number | 1477594844 |
|---|---|
| LBN Legal business name | Le, Tiffany |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Dec 3rd, 2009 - 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 | 1477594844 | NPPES |
| North Carolina | Other | 093PE | BCBS NUMBER |
| North Carolina | MEDICAID | 89093PE | BCBS NUMBER |
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