Dostal, Eric David
Dostal, Eric David is an sole proprietor health care provider with primary practice located at 1655 Boston Rd Unit B16, Springfield MA 01129-1148. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dostal, Eric David can be contacted via phone (413) 543-6878.Contact Information
Primary practice address
1655 Boston Rd Unit B16
Springfield MA 01129-1148
Phone: (413) 543-6878
Fax: (413) 543-9299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | MA4035 | Massachusetts |
Profile Details
| NPI number | 1851310429 |
|---|---|
| LBN Legal business name | Dostal, Eric David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2006 |
| Last updated | May 18th, 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 | 1851310429 | NPPES |
| Massachusetts | MEDICAID | 9747940 |
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