Evans, John O
Evans, John O is an sole proprietor health care provider with primary practice located at 3200 West St , Canandaigua NY 14424-1722. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Evans, John O can be contacted via phone (585) 394-1358.Contact Information
Primary practice address
3200 West St
Canandaigua NY 14424-1722
Phone: (585) 394-1358
Fax: (585) 394-0261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV003346-1 | New York |
Profile Details
| NPI number | 1568499671 |
|---|---|
| LBN Legal business name | Evans, John O |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Jan 14th, 2008 - about 17 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 | 1568499671 | NPPES |
| New York | MEDICAID | 00449867 |
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