Stotts, Heath David
Stotts, Heath David is an sole proprietor health care provider with primary practice located at 502 W Owen K Garriott Rd , Enid OK 73701-5523. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Stotts, Heath David can be contacted via phone (580) 233-3599.Contact Information
Primary practice address
502 W Owen K Garriott Rd
Enid OK 73701-5523
Phone: (580) 233-3599
Fax: (580) 237-2560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2754 | Oklahoma |
Profile Details
| NPI number | 1992051148 |
|---|---|
| LBN Legal business name | Stotts, Heath David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2012 |
| Last updated | Jul 19th, 2017 - about 7 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 | 1992051148 | NPPES |
| Oklahoma | MEDICAID | 200465100A |
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