Van, Dawn T

Van, Dawn T is an sole proprietor health care provider with primary practice located at 8794 Boynton Beach Blvd Ste 114 , Boynton Beach FL 33472-4468. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Van, Dawn T can be contacted via phone (561) 509-8502.

Contact Information

Primary practice address
8794 Boynton Beach Blvd Ste 114 Boynton Beach FL 33472-4468
Phone: (561) 509-8502
Fax: (561) 509-8469
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC3746 Florida

Profile Details

NPI number 1689684466
LBN Legal business name Van, Dawn T
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Aug 20th, 2019 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689684466 NPPES
Florida MEDICAID 621054600

Popular Providers