Overstreet, Samuel Joseph

Overstreet, Samuel Joseph is an individual health care provider with primary practice located at 2 E Jackson Blvd , Savannah GA 31405-5810. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Overstreet, Samuel Joseph can be contacted via phone (912) 352-7941.

Contact Information

Primary practice address
2 E Jackson Blvd Savannah GA 31405-5810
Phone: (912) 352-7941
Fax: (912) 352-7946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1788 South Carolina
Eye and Vision Services Providers / Optometrist 152W00000X OPT002201 Georgia

Profile Details

NPI number 1063457547
LBN Legal business name Overstreet, Samuel Joseph
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Jul 21st, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063457547 NPPES
Georgia MEDICAID 00314277B

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