Ledbetter, Lance L.
Ledbetter, Lance L. is an sole proprietor health care provider with primary practice located at 232 W Main St , Moore OK 73160-5142. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ledbetter, Lance L. can be contacted via phone (405) 794-3588.Contact Information
Primary practice address
232 W Main St
Moore OK 73160-5142
Phone: (405) 794-3588
Fax: (405) 794-0306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1180 | Oklahoma |
Profile Details
| NPI number | 1538151337 |
|---|---|
| LBN Legal business name | Ledbetter, Lance L. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Jun 21st, 2022 - about 2 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 | 1538151337 | NPPES |
| Oklahoma | Other | 1320340001 | PALMETTO SUPPLIER ID |
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