Mcdevitt, Lisa M
Mcdevitt, Lisa M is an sole proprietor health care provider with primary practice located at 201 N Kenhorst Blvd , Reading PA 19607-1535. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mcdevitt, Lisa M can be contacted via phone (610) 796-1300.Contact Information
Primary practice address
201 N Kenhorst Blvd
Reading PA 19607-1535
Phone: (610) 796-1300
Fax: (610) 796-1913
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG000047 | Pennsylvania |
Profile Details
| NPI number | 1750384863 |
|---|---|
| LBN Legal business name | Mcdevitt, Lisa M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | Jun 30th, 2010 - about 14 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 | 1750384863 | NPPES |
| Pennsylvania | Other | 0202284000 | INDEPENDENCE BLUE CROSS |
| Pennsylvania | Other | 410034065 | INDEPENDENCE BLUE CROSS |
| Pennsylvania | Other | 6762464 | INDEPENDENCE BLUE CROSS |
| Pennsylvania | Other | PA06980 | INDEPENDENCE BLUE CROSS |
| Pennsylvania | Other | 0000175234 | INDEPENDENCE BLUE CROSS |
| Pennsylvania | Other | 113714 | INDEPENDENCE BLUE CROSS |
| Pennsylvania | Other | 4650262 | INDEPENDENCE BLUE CROSS |
| Pennsylvania | Other | 339637 | INDEPENDENCE BLUE CROSS |
| Pennsylvania | Other | 01689801 | INDEPENDENCE BLUE CROSS |
| Pennsylvania | Other | 02631700 | INDEPENDENCE BLUE CROSS |
| Pennsylvania | Other | 339637 | INDEPENDENCE BLUE CROSS |
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