Premeaux, Cynthia Joanne

Premeaux, Cynthia Joanne is an sole proprietor health care provider with primary practice located at 6400 E Main St Suite 101, Reynoldsburg OH 43068-2359. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Premeaux, Cynthia Joanne can be contacted via phone (614) 759-9420.

Contact Information

Primary practice address
6400 E Main St Suite 101 Reynoldsburg OH 43068-2359
Fax: (614) 759-9520
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5816-T2730 Ohio

Profile Details

NPI number 1497902779
LBN Legal business name Premeaux, Cynthia Joanne
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2008
Last updated Dec 30th, 2011 - about 14 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 1497902779 NPPES
Ohio MEDICAID 3044182

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