Potvin, Elizabeth A
Potvin, Elizabeth A is an individual health care provider with primary practice located at 2450 Ne Mary Rose Pl Suite 110, Bend OR 97701-7132. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Potvin, Elizabeth A can be contacted via phone (541) 318-8388.Contact Information
Primary practice address
2450 Ne Mary Rose Pl Suite 110
Bend OR 97701-7132
Phone: (541) 318-8388
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901004355 | Michigan |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3479AT | Oregon |
Profile Details
| NPI number | 1063568152 |
|---|---|
| LBN Legal business name | Potvin, Elizabeth A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Aug 15th, 2013 - about 11 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 | 1063568152 | NPPES |
| Michigan | MEDICAID | 944923648 |
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