Wenger, Stacey Allan
Wenger, Stacey Allan is an sole proprietor health care provider with primary practice located at 14901 N Dale Mabry Hwy , Tampa FL 33618-1801. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wenger, Stacey Allan can be contacted via phone (813) 960-8958.Contact Information
Primary practice address
14901 N Dale Mabry Hwy
Tampa FL 33618-1801
Phone: (813) 960-8958
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC 2760 | Florida |
Profile Details
| NPI number | 1427014075 |
|---|---|
| LBN Legal business name | Wenger, Stacey Allan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2006 |
| Last updated | Feb 19th, 2014 - about 10 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 | 1427014075 | NPPES |
| Florida | MEDICAID | 620772300 |
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