Power, John David
Power, John David is an sole proprietor health care provider with primary practice located at 3411 Office Park Dr , Marion IL 62959-6478. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Power, John David can be contacted via phone (618) 997-5600.Contact Information
Primary practice address
3411 Office Park Dr
Marion IL 62959-6478
Phone: (618) 997-5600
Fax: (618) 993-2574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046007974 | Illinois |
Profile Details
| NPI number | 1154414092 |
|---|---|
| LBN Legal business name | Power, John David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | May 2nd, 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 | 1154414092 | NPPES |
| Illinois | Other | 0010084008 | BLUE CROSS BLUE SHIELD # |
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