Perlman-Hensen, Alyssa
Perlman-Hensen, Alyssa is an individual health care provider with primary practice located at 1900 Mason Ave Suite 100 , Daytona Beach FL 32117. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Perlman-Hensen, Alyssa can be contacted via phone (386) 274-5525.Contact Information
Primary practice address
1900 Mason Ave Suite 100
Daytona Beach FL 32117
Phone: (386) 274-5525
Fax: (803) 434-1581
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 2034 | South Carolina |
Eye and Vision Services Providers / Optometrist | 152W00000X | 5214 | Massachusetts |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 5214 | Massachusetts |
Eye and Vision Services Providers / Optometrist | 152W00000X | CPC5617 | Florida |
Profile Details
NPI number | 1154842961 |
---|---|
LBN Legal business name | Perlman-Hensen, Alyssa |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2017 |
Last updated | Sep 2nd, 2021 - about 3 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 | 1154842961 | NPPES |
Florida | MEDICAID | 110772100 | |
Florida | MEDICAID | D20341 |
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