Maurer, Diana
Maurer, Diana is an sole proprietor health care provider with primary practice located at 2209 Memorial Dr , Waycross GA 31501-0902. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Maurer, Diana can be contacted via phone (912) 285-2021.Contact Information
Primary practice address
2209 Memorial Dr
Waycross GA 31501-0902
Phone: (912) 285-2021
Fax: (912) 285-2558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT001210 | Georgia |
Profile Details
| NPI number | 1891840617 |
|---|---|
| LBN Legal business name | Maurer, Diana |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Nov 17th, 2023 - about 2 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 | 1891840617 | NPPES |
| Georgia | Other | 101698 | AVESIS RUN GA MEDICAID |
| Georgia | MEDICAID | 000872781A | AVESIS RUN GA MEDICAID |
| Georgia | Other | 08529 | AVESIS RUN GA MEDICAID |
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