Light, Dennis John
Light, Dennis John is an sole proprietor health care provider with primary practice located at 4100 W Third Street Dayton Vamc Eye Clinic 112E, Dayton OH 45428. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Light, Dennis John can be contacted via phone (937) 268-6511.Contact Information
Primary practice address
4100 W Third Street Dayton Vamc Eye Clinic 112E
Dayton OH 45428
Phone: (937) 268-6511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4366 | Ohio |
Profile Details
| NPI number | 1962461228 |
|---|---|
| LBN Legal business name | Light, Dennis John |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jan 3rd, 2013 - about 11 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 | 1962461228 | NPPES |
| Ohio | MEDICAID | 0936796 |
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