Lyons, Stacy A
Lyons, Stacy A is an individual health care provider with primary practice located at 31 Flagg Drive New England Eye Fuller Middle School, Framingham MA 01702. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Lyons, Stacy A can be contacted via phone (508) 620-4956.Contact Information
Primary practice address
31 Flagg Drive New England Eye Fuller Middle School
Framingham MA 01702
Phone: (508) 620-4956
Fax: (508) 879-4909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3440 | Massachusetts |
Profile Details
| NPI number | 1962402644 |
|---|---|
| LBN Legal business name | Lyons, Stacy A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Dec 28th, 2007 - about 18 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 | 1962402644 | NPPES |
| Massachusetts | MEDICAID | 324370 |
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