Tovarek, Stacy Lynn
Tovarek, Stacy Lynn is an individual health care provider with primary practice located at 3220 Uddenberg Ln Suite 5, Gig Harbor WA 98335-5128. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Tovarek, Stacy Lynn can be contacted via phone (253) 851-2020.Contact Information
Primary practice address
3220 Uddenberg Ln Suite 5
Gig Harbor WA 98335-5128
Phone: (253) 851-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 03945 | Washington |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 280T | Wyoming |
Profile Details
| NPI number | 1659360394 |
|---|---|
| LBN Legal business name | Tovarek, Stacy Lynn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2005 |
| Last updated | Jan 3rd, 2012 - about 13 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 | 1659360394 | NPPES |
| Washington | Other | P00375324 | RAILROAD MEDICARE PIN |
| Washington | MEDICAID | 2030989 | RAILROAD MEDICARE PIN |
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