Sera, Nina J
Sera, Nina J is an individual health care provider with primary practice located at 421 Camelot Dr , Fond Du Lac WI 54935-8335. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Sera, Nina J can be contacted via phone (920) 926-8472.Contact Information
Primary practice address
421 Camelot Dr
Fond Du Lac WI 54935-8335
Phone: (920) 926-8472
Fax: (920) 926-8391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3135 | Wisconsin |
Profile Details
| NPI number | 1851553549 |
|---|---|
| LBN Legal business name | Sera, Nina J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2008 |
| Last updated | Oct 21st, 2020 - about 4 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 | 1851553549 | NPPES |
| Indiana | MEDICAID | 200904360 |
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