Calderon, Vincente A

Calderon, Vincente A is an individual health care provider with primary practice located at 8 Davison Plz , East Rockaway NY 11518-1545. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Calderon, Vincente A can be contacted via phone (347) 717-4117.

Contact Information

Primary practice address
8 Davison Plz East Rockaway NY 11518-1545
Phone: (347) 717-4117
Fax: (347) 772-3032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X TUV007143-1 New York
Eye and Vision Services Providers / Optometrist 152W00000X TUV007143-1 New York

Profile Details

NPI number 1457542375
LBN Legal business name Calderon, Vincente A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated May 17th, 2019 - about 5 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 1457542375 NPPES
New York MEDICAID 02904052

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