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:
Health care specialties
| Specialty | Code | License # | 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 6 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 | 1689684466 | NPPES |
| Florida | MEDICAID | 621054600 |
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