Orellana Medina, Katherine
Orellana Medina, Katherine is an sole proprietor health care provider with primary practice located at 9773 W Sample Rd , Coral Springs FL 33065-4003. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Orellana Medina, Katherine can be contacted via phone (954) 753-0137.Contact Information
Primary practice address
9773 W Sample Rd
Coral Springs FL 33065-4003
Phone: (954) 753-0137
Fax: (954) 753-0139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV006221 | New York |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3853 | Florida |
Profile Details
| NPI number | 1356307193 |
|---|---|
| LBN Legal business name | Orellana Medina, Katherine |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Oct 30th, 2013 - about 12 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 | 1356307193 | NPPES |
| Florida | MEDICAID | 000557300 | |
| Florida | MEDICAID | 02072966 | |
| Florida | Other | P2390358 | |
| Florida | Other | TUV006221 | |
| Florida | Other | 6501441 |
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