Myers, James Lynn
Myers, James Lynn is an sole proprietor health care provider with primary practice located at 1789 E Bristol St Suite C, Elkhart IN 46514-6607. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Myers, James Lynn can be contacted via phone (574) 262-3631.Contact Information
Primary practice address
1789 E Bristol St Suite C
Elkhart IN 46514-6607
Phone: (574) 262-3631
Fax: (574) 266-9186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | IN18001630B | Indiana |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 180012689B | Indiana |
Profile Details
| NPI number | 1871647917 |
|---|---|
| LBN Legal business name | Myers, James Lynn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Sep 28th, 2015 - 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 | 1871647917 | NPPES |
| Indiana | Other | IN1630 | EYEMED VISION CARE |
| Indiana | MEDICAID | 100325330 | EYEMED VISION CARE |
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