Podschun, James A

Podschun, James A is an individual health care provider with primary practice located at 1935 State Road 436 Ste 1001 , Winter Park FL 32792-2244. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Podschun, James A can be contacted via phone (407) 671-0960.

Contact Information

Primary practice address
1935 State Road 436 Ste 1001 Winter Park FL 32792-2244
Phone: (407) 671-0960
Fax: (407) 677-6696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC2303 Florida
Eye and Vision Services Providers / Optometrist 152W00000X FLOP0002303 Florida

Profile Details

NPI number 1003804121
LBN Legal business name Podschun, James A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Feb 5th, 2019 - about 5 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 1003804121 NPPES
Florida MEDICAID 078735300

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