Testa, Lisa M

Testa, Lisa M is an sole proprietor health care provider with primary practice located at 2694 S Main St , Coventry Township OH 44319-1861. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Testa, Lisa M can be contacted via phone (330) 785-5111.

Contact Information

Primary practice address
2694 S Main St Coventry Township OH 44319-1861
Phone: (330) 785-5111
Fax: (330) 785-5114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4179-T681 Ohio

Profile Details

NPI number 1144215864
LBN Legal business name Testa, Lisa M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2005
Last updated Jan 15th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144215864 NPPES
Ohio Other 4126690001 MEDICARE DURABLE MEDICAL GOODS
Ohio MEDICAID 0872739 MEDICARE DURABLE MEDICAL GOODS

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