Moffitt, Lisa
Moffitt, Lisa is an individual health care provider with primary practice located at 16086 Conneaut Lake Rd Walmart Vision Center, Meadville PA 16335-3884. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Moffitt, Lisa can be contacted via phone (816) 337-4426.Contact Information
Primary practice address
16086 Conneaut Lake Rd Walmart Vision Center
Meadville PA 16335-3884
Phone: (816) 337-4426
Fax: (814) 337-4320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | PA0EG000769 | Pennsylvania |
Profile Details
| NPI number | 1104833615 |
|---|---|
| LBN Legal business name | Moffitt, Lisa |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Dec 1st, 2016 - about 9 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 | 1104833615 | NPPES |
| Pennsylvania | Other | 0000027186 | MEDICARE |
| Pennsylvania | Other | 376852 | MEDICARE |
| Pennsylvania | Other | 001746361 0003 | MEDICARE |
| Pennsylvania | Other | 0017463610003 | MEDICARE |
| Pennsylvania | Other | 52269 | MEDICARE |
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