Stanley, Anna Faye
Stanley, Anna Faye is an sole proprietor health care provider with primary practice located at 120 Sam Walton Dr , Russellville KY 42276-9311. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Stanley, Anna Faye can be contacted via phone (270) 726-8283.Contact Information
Primary practice address
120 Sam Walton Dr
Russellville KY 42276-9311
Phone: (270) 726-8283
Fax: (270) 726-9842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1476DT | Kentucky |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18002536B | Indiana |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 464 | Nevada |
Profile Details
| NPI number | 1164402939 |
|---|---|
| LBN Legal business name | Stanley, Anna Faye |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Mar 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 | 1164402939 | NPPES |
| Kentucky | MEDICAID | 77340438 | |
| Kentucky | Other | P00396722 |
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