Siergey, Justine L

Siergey, Justine L is an individual health care provider with primary practice located at 8701 Maitland Summit Blvd , Orlando FL 32810-5915. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Corneal and Contact Management is her primary health care specialty. Siergey, Justine L can be contacted via phone (407) 385-1620.

Contact Information

Primary practice address
8701 Maitland Summit Blvd Orlando FL 32810-5915
Phone: (407) 385-1620
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4690 Florida
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 4690 Florida

Profile Details

NPI number 1588925622
LBN Legal business name Siergey, Justine L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2012
Last updated Feb 9th, 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.

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