Simons, Brenda
Simons, Brenda is an individual health care provider with primary practice located at 1700 E West Rd , Calumet City IL 60409-5415. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Simons, Brenda can be contacted via phone (708) 891-3330.Contact Information
Primary practice address
1700 E West Rd
Calumet City IL 60409-5415
Phone: (708) 891-3330
Fax: (708) 891-0904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046007062 | Illinois |
Profile Details
| NPI number | 1447243464 |
|---|---|
| LBN Legal business name | Simons, Brenda |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Feb 25th, 2014 - about 11 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 | 1447243464 | NPPES |
| Illinois | MEDICAID | 046007062 |
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