Luther, Lydia Kate
Luther, Lydia Kate is an individual health care provider with primary practice located at 6036 Park Blvd N , Pinellas Park FL 33781-3228. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Luther, Lydia Kate can be contacted via phone (727) 895-2020.Contact Information
Primary practice address
6036 Park Blvd N
Pinellas Park FL 33781-3228
Phone: (727) 895-2020
Fax: (727) 823-8796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC005707 | Florida |
Profile Details
| NPI number | 1629630579 |
|---|---|
| LBN Legal business name | Luther, Lydia Kate |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2019 |
| Last updated | May 5th, 2021 - about 3 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 | 1629630579 | NPPES |
| Florida | MEDICAID | 103786100 |
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