Steward, Lisa
Steward, Lisa is an sole proprietor health care provider with primary practice located at 4684 S Us Highway 41 , Terre Haute IN 47802-5404. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Steward, Lisa can be contacted via phone (812) 223-4925.Contact Information
Primary practice address
4684 S Us Highway 41
Terre Haute IN 47802-5404
Phone: (812) 223-4925
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18003349A | Indiana |
Profile Details
| NPI number | 1942212071 |
|---|---|
| LBN Legal business name | Steward, Lisa |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Jul 8th, 2010 - about 15 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 | 1942212071 | NPPES |
| Indiana | MEDICAID | 20052770A | |
| Indiana | Other | 28125 |
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