Derienzo, Frank
Derienzo, Frank is an individual health care provider with primary practice located at 123 River Drive , Jersey City NJ 07310-1615. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Occupational Vision is his primary health care specialty. Derienzo, Frank can be contacted via phone (201) 222-3937.Contact Information
Primary practice address
123 River Drive
Jersey City NJ 07310-1615
Phone: (201) 222-3937
Fax: (201) 798-6021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 27OA000470600 | New Jersey |
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV004989 | New York |
Profile Details
| NPI number | 1215987888 |
|---|---|
| LBN Legal business name | Derienzo, Frank |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Apr 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215987888 | NPPES |
| New York | MEDICAID | 04001052 |
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