Dr. Daniel Desrivieres Odpc
LBN: Dr. Daniel Desrivieres Odpc
Dr. Daniel Desrivieres Odpc is an health care organization with primary practice located at 32 N Day St , Orange NJ 07050-3609. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty.
Dr. Daniel Desrivieres Odpc can be contacted via phone (973) 676-8113, or through Desrivieres, Daniel via phone (201) 306-8258.
Contact Information
Primary practice address
32 N Day St
Orange NJ 07050-3609
Phone: (973) 676-8113
Fax: (973) 672-1937
Website:
Authorized official contact:
Name: Desrivieres, Daniel Doctor of Optometry (OD)
Phone: (201) 306-8258
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1295058915 |
|---|---|
| LBN Legal business name | Dr. Daniel Desrivieres Odpc |
| DBA Doing business as | |
| Authorized official | Desrivieres, Daniel Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 9th, 2010 |
| Last updated | Feb 6th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295058915 | NPPES |
| New Jersey | MEDICAID | 0735108 |
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