Shepard-Marziale, Lynda Jean

Shepard-Marziale, Lynda Jean is an sole proprietor health care provider with primary practice located at 4600 E 10Th St , Greenville NC 27858-0849. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Shepard-Marziale, Lynda Jean can be contacted via phone (252) 329-7025.

Contact Information

Primary practice address
4600 E 10Th St Greenville NC 27858-0849
Fax: (252) 329-7025
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1558 North Carolina

Profile Details

NPI number 1497783203
LBN Legal business name Shepard-Marziale, Lynda Jean
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2006
Last updated Nov 18th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497783203 NPPES
Other 0917P BLUE CROSS BLUE SHIELD NC
Other 17552 BLUE CROSS BLUE SHIELD NC
Other 2200131 BLUE CROSS BLUE SHIELD NC
MEDICAID 890917P BLUE CROSS BLUE SHIELD NC
Other 6952803 BLUE CROSS BLUE SHIELD NC

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