Lenoir, Andre Terrell
Lenoir, Andre Terrell is an sole proprietor health care provider with primary practice located at 2788 Bayard St , East Point GA 30344-3441. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Lenoir, Andre Terrell can be contacted via phone (770) 593-0046.Contact Information
Primary practice address
2788 Bayard St
East Point GA 30344-3441
Phone: (770) 593-0046
Fax: (770) 808-2787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2176 | Georgia |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2176 | Georgia |
Profile Details
| NPI number | 1417008327 |
|---|---|
| LBN Legal business name | Lenoir, Andre Terrell |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Sep 8th, 2016 - about 9 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 | 1417008327 | NPPES |
| Georgia | MEDICAID | 69118107A |
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