Spear, Katie Gilbert
Spear, Katie Gilbert is an individual health care provider with primary practice located at 770 Us Highway 331 S Ste 1, Defuniak Springs FL 32435-3307. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Spear, Katie Gilbert can be contacted via phone (850) 207-2080.Contact Information
Primary practice address
770 Us Highway 331 S Ste 1
Defuniak Springs FL 32435-3307
Phone: (850) 207-2080
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3920 | Florida |
Profile Details
NPI number | 1548253974 |
---|---|
LBN Legal business name | Spear, Katie Gilbert |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2005 |
Last updated | Jul 5th, 2022 - about 3 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 | 1548253974 | NPPES |
Florida | Other | 68122 | BCBS OF FL |
Florida | MEDICAID | 112297000 | BCBS OF FL |
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