Summers, Sean M.
Summers, Sean M. is an individual health care provider with primary practice located at 4504 Texas Blvd , Texarkana TX 75503-3027. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Summers, Sean M. can be contacted via phone (903) 792-3705.Contact Information
Primary practice address
4504 Texas Blvd
Texarkana TX 75503-3027
Phone: (903) 792-3705
Fax: (903) 794-5008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 7424T | Texas |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7424T | Texas |
Profile Details
| NPI number | 1679702096 |
|---|---|
| LBN Legal business name | Summers, Sean M. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2009 |
| Last updated | Mar 30th, 2020 - about 5 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 | 1679702096 | NPPES |
| Texas | Other | 7424T | STATE LICENSE |
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