Sopp, Nicole M
Sopp, Nicole M is an individual health care provider with primary practice located at 38 Route 134 , South Dennis MA 02660-3700. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Sopp, Nicole M can be contacted via phone (150) 839-4221.Contact Information
Primary practice address
38 Route 134
South Dennis MA 02660-3700
Phone: (150) 839-4221
Fax: (508) 398-4471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5024 | Massachusetts |
Profile Details
| NPI number | 1548577471 |
|---|---|
| LBN Legal business name | Sopp, Nicole M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2010 |
| Last updated | Aug 11th, 2015 - about 9 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 | 1548577471 | NPPES |
| South Carolina | MEDICAID | D16089 | |
| South Carolina | Other | AA67522326 | |
| South Carolina | Other | S400176567 |
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