Depaolis, Michael D

Depaolis, Michael D is an individual health care provider with primary practice located at 169 Rue De Vl , Rochester NY 14618-5619. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Depaolis, Michael D can be contacted via phone (585) 271-2990.

Contact Information

Primary practice address
169 Rue De Vl Rochester NY 14618-5619
Phone: (585) 271-2990
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4109 New York
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X TUV004109-0 New York

Profile Details

NPI number 1720084346
LBN Legal business name Depaolis, Michael D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Jul 5th, 2023 - about last year

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 1720084346 NPPES
New York MEDICAID 01594903

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