Robertson, Jill Lynn
Robertson, Jill Lynn is an individual health care provider with primary practice located at 2700 Homestead Rd Ste 30 , Park City UT 84098-4874. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Robertson, Jill Lynn can be contacted via phone (435) 615-0435.Contact Information
Primary practice address
2700 Homestead Rd Ste 30
Park City UT 84098-4874
Phone: (435) 615-0435
Fax: (435) 604-0261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 105610199934 | Utah |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2555 | Arkansas |
Profile Details
| NPI number | 1407966765 |
|---|---|
| LBN Legal business name | Robertson, Jill Lynn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Feb 21st, 2018 - about 7 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 | 1407966765 | NPPES |
| Arkansas | Other | 49941 | BCBS |
| Arkansas | MEDICAID | 189694722 | BCBS |
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