Willis, Brianna
Willis, Brianna is an individual health care provider with primary practice located at 5854 Eastex Fwy , Beaumont TX 77708-4824. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Willis, Brianna can be contacted via phone (409) 899-1177.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9268T | Texas |
Profile Details
| NPI number | 1467979328 |
|---|---|
| LBN Legal business name | Willis, Brianna |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2017 |
| Last updated | Aug 23rd, 2017 - about 7 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 | 1467979328 | NPPES |
| Texas | MEDICAID | 1366555229 |
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