Nutting, Stacey Lorraine

Nutting, Stacey Lorraine is an individual health care provider with primary practice located at 5792 Widewaters Pkwy Ste 101 , Syracuse NY 13214-1847. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Nutting, Stacey Lorraine can be contacted via phone (315) 422-4412.

Contact Information

Primary practice address
5792 Widewaters Pkwy Ste 101 Syracuse NY 13214-1847
Fax: (315) 373-0164
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 008389-1 New York

Profile Details

NPI number 1336709518
LBN Legal business name Nutting, Stacey Lorraine
Credentials OPHTHALMIC DISPENSER
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2019
Last updated Jun 19th, 2019 - about 5 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.

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