White, Sandra Jeanne
White, Sandra Jeanne is an individual health care provider with primary practice located at Route 132 Sears Optical Cape Cod Mall, Hyannis MA 02601. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. White, Sandra Jeanne can be contacted via phone (508) 790-7352.Contact Information
Primary practice address
Route 132 Sears Optical Cape Cod Mall
Hyannis MA 02601
Phone: (508) 790-7352
Fax: (508) 778-7614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3236 | Massachusetts |
Profile Details
| NPI number | 1205886355 |
|---|---|
| LBN Legal business name | White, Sandra Jeanne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1205886355 | NPPES |
| Massachusetts | MEDICAID | 0323655 |
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