Meyer, Jackelyn Theresa
Meyer, Jackelyn Theresa is an individual health care provider with primary practice located at 2201 W Dolarway Rd Ste 2 , Ellensburg WA 98926-8228. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Meyer, Jackelyn Theresa can be contacted via phone (509) 925-1000.Contact Information
Primary practice address
2201 W Dolarway Rd Ste 2
Ellensburg WA 98926-8228
Phone: (509) 925-1000
Fax: (509) 925-2474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 9806 | Texas |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9806 | Texas |
Profile Details
| NPI number | 1033765482 |
|---|---|
| LBN Legal business name | Meyer, Jackelyn Theresa |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2019 |
| Last updated | Oct 7th, 2020 - about 4 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 | 1033765482 | NPPES |
| Washington | Other | OD61047749 | LICENSE |
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