Pate, Rena Melton
Pate, Rena Melton is an individual health care provider with primary practice located at 4051 Nicholasville Rd , Lexington KY 40503-4432. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Pate, Rena Melton can be contacted via phone (859) 971-0589.Contact Information
Primary practice address
4051 Nicholasville Rd
Lexington KY 40503-4432
Phone: (859) 971-0589
Fax: (859) 971-0591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1636DT | Kentucky |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6761TG | Texas |
Profile Details
| NPI number | 1376589234 |
|---|---|
| LBN Legal business name | Pate, Rena Melton |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Mar 5th, 2008 - about 17 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 | 1376589234 | NPPES |
| Kentucky | MEDICAID | 77001477 | |
| Kentucky | Other | 000000368848 |
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