Stanley, Jennifer S
Stanley, Jennifer S is an individual health care provider with primary practice located at 3040 W Bearss Ave , Tampa FL 33618-1811. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Stanley, Jennifer S can be contacted via phone (813) 264-2020.Contact Information
Primary practice address
3040 W Bearss Ave
Tampa FL 33618-1811
Phone: (813) 264-2020
Fax: (813) 964-5734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC2736 | Florida |
Profile Details
| NPI number | 1730181207 |
|---|---|
| LBN Legal business name | Stanley, Jennifer S |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jan 9th, 2018 - about 6 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 | 1730181207 | NPPES |
| Florida | MEDICAID | 620012500 |
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