Lievens, Christopher W

Lievens, Christopher W is an individual health care provider with primary practice located at 1225 Madison Ave , Memphis TN 38104-2211. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lievens, Christopher W can be contacted via phone (701) 722-3250.

Contact Information

Primary practice address
1225 Madison Ave Memphis TN 38104-2211
Phone: (701) 722-3250
Fax: (901) 722-3347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2221 Tennessee

Profile Details

NPI number 1912990086
LBN Legal business name Lievens, Christopher W
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Mar 7th, 2023 - about last year

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 1912990086 NPPES
Tennessee MEDICAID 3944123
Tennessee Other 2221

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