Ainsworth, Mark M

Ainsworth, Mark M is an sole proprietor health care provider with primary practice located at 394 E State St , Herkimer NY 13350-2026. He recently has 2 registered licenses in different health care specialties including Suppliers / Eyewear Supplier (Equipment, not the service), Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Ainsworth, Mark M can be contacted via phone (315) 866-9667.

Contact Information

Primary practice address
394 E State St Herkimer NY 13350-2026
Phone: (315) 866-9667
Fax: (315) 866-9668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X TUV005303-1 New York
Eye and Vision Services Providers / Optometrist 152W00000X TUV005303-1 New York

Profile Details

NPI number 1255318861
LBN Legal business name Ainsworth, Mark M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 23rd, 2005
Last updated Mar 6th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255318861 NPPES
New York MEDICAID 01912927
New York Other 493
New York Other 522109986
New York Other 595064
New York Other NY5303
New York Other 117251
New York Other 05742

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