Lemkin, Peter

Lemkin, Peter is an individual health care provider with primary practice located at 110 Med Tech Pkwy Suite 1, Johnson City TN 37604-4004. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lemkin, Peter can be contacted via phone (423) 929-2111.

Contact Information

Primary practice address
110 Med Tech Pkwy Suite 1 Johnson City TN 37604-4004
Phone: (423) 929-2111
Fax: (423) 929-0497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD2144 Tennessee

Profile Details

NPI number 1194783167
LBN Legal business name Lemkin, Peter
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jan 31st, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194783167 NPPES
Tennessee MEDICAID 3944958

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