Owen, Dan Eugene
Owen, Dan Eugene is an sole proprietor health care provider with primary practice located at 5301 Highway 153 , Hixson TN 37343-4966. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Owen, Dan Eugene can be contacted via phone (423) 877-9990.Contact Information
Primary practice address
5301 Highway 153
Hixson TN 37343-4966
Phone: (423) 877-9990
Fax: (423) 875-9952
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT 001596 | Georgia |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD 0000000546 | Tennessee |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1494 | South Carolina |
Profile Details
| NPI number | 1588769848 |
|---|---|
| LBN Legal business name | Owen, Dan Eugene |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Oct 6th, 2011 - about 13 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 | 1588769848 | NPPES |
| Georgia | MEDICAID | 491456241A |
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