Perez, Staci Palmer
Perez, Staci Palmer is an individual health care provider with primary practice located at 3929 Tinsley Dr Suite 101, High Point NC 27265-1530. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Perez, Staci Palmer can be contacted via phone (336) 841-2028.Contact Information
Primary practice address
3929 Tinsley Dr Suite 101
High Point NC 27265-1530
Phone: (336) 841-2028
Fax: (336) 841-2029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1738 | North Carolina |
Profile Details
| NPI number | 1528069754 |
|---|---|
| LBN Legal business name | Perez, Staci Palmer |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1528069754 | NPPES |
| North Carolina | MEDICAID | 89093A8 |
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