Butenko, Olessia Xenia
Butenko, Olessia Xenia is an sole proprietor health care provider with primary practice located at 3018 East Ave Inside Walmart Vision Center, Central Square NY 13036-2713. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Butenko, Olessia Xenia can be contacted via phone (315) 668-0422.Contact Information
Primary practice address
3018 East Ave Inside Walmart Vision Center
Central Square NY 13036-2713
Phone: (315) 668-0422
Fax: (315) 668-0424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV006228 | New York |
Profile Details
| NPI number | 1619190493 |
|---|---|
| LBN Legal business name | Butenko, Olessia Xenia |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Feb 15th, 2012 - about 12 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 | 1619190493 | NPPES |
| New York | Other | 000125424 | BCBS |
| New York | Other | 366116 | BCBS |
| New York | Other | 27761 | BCBS |
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