Whitney, Oliver Wendell
Whitney, Oliver Wendell is an sole proprietor health care provider with primary practice located at 1580 W Causeway Approach Ste 3, Mandeville LA 70471-3033. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Whitney, Oliver Wendell can be contacted via phone (985) 626-5242.Contact Information
Primary practice address
1580 W Causeway Approach Ste 3
Mandeville LA 70471-3033
Phone: (985) 626-5242
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 810300T | Louisiana |
Profile Details
NPI number | 1912903162 |
---|---|
LBN Legal business name | Whitney, Oliver Wendell |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 22nd, 2005 |
Last updated | Dec 19th, 2010 - about 15 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 | 1912903162 | NPPES |
Louisiana | MEDICAID | 1176923 |
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