Carnevali, Tony
Carnevali, Tony is an individual health care provider with primary practice located at 3916 S Broadway , Los Angeles CA 90037-1307. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Carnevali, Tony can be contacted via phone (323) 234-9137.Contact Information
Primary practice address
3916 S Broadway
Los Angeles CA 90037-1307
Phone: (323) 234-9137
Fax: (323) 235-6203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5827TPL | California |
Profile Details
| NPI number | 1760479497 |
|---|---|
| LBN Legal business name | Carnevali, Tony |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Dec 9th, 2010 - about 14 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 | 1760479497 | NPPES |
| California | MEDICAID | ZZT11740F |
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