Michaels, Jeffrey Carter
Michaels, Jeffrey Carter is an individual health care provider with primary practice located at 4114 Innslake Dr , Glen Allen VA 23060-3344. He 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 his primary health care specialty. Michaels, Jeffrey Carter can be contacted via phone (804) 217-9883.Contact Information
Primary practice address
4114 Innslake Dr
Glen Allen VA 23060-3344
Phone: (804) 217-9883
Fax: (804) 217-9065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 0601800085 | Virginia |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0601800085 | Virginia |
Profile Details
| NPI number | 1174517726 |
|---|---|
| LBN Legal business name | Michaels, Jeffrey Carter |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Apr 29th, 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 | 1174517726 | NPPES |
| Virginia | Other | 2634406 | AETNA HMO |
| Virginia | Other | 7360063 | AETNA HMO |
| Virginia | Other | 273089 | AETNA HMO |
| Virginia | MEDICAID | 92-3481-1 | AETNA HMO |
| Virginia | Other | 473089 | AETNA HMO |
| Virginia | Other | 182026 | AETNA HMO |
| Virginia | Other | 269403 | AETNA HMO |
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