Donach, Walter
Donach, Walter is an sole proprietor health care provider with primary practice located at 6110 Bergenline Ave , West New York NJ 07093-1568. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Donach, Walter can be contacted via phone (201) 861-1144.Contact Information
Primary practice address
6110 Bergenline Ave
West New York NJ 07093-1568
Phone: (201) 861-1144
Fax: (201) 868-3577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OA-004538 | New Jersey |
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV-004396 | New York |
Profile Details
| NPI number | 1245386549 |
|---|---|
| LBN Legal business name | Donach, Walter |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2007 |
| Last updated | Feb 22nd, 2011 - about 13 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 | 1245386549 | NPPES |
| New Jersey | MEDICAID | 0515205 |
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