Fernandez, Herminio

Fernandez, Herminio is an sole proprietor health care provider with primary practice located at 69-09 Roosevelt Avenue , Woodside NY 11377. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Fernandez, Herminio can be contacted via phone (718) 639-1392.

Contact Information

Primary practice address
69-09 Roosevelt Avenue Woodside NY 11377
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 006666 New York

Profile Details

NPI number 1477704161
LBN Legal business name Fernandez, Herminio
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2008
Last updated Oct 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477704161 NPPES
Other 44101 DAVIS VISION
MEDICAID 810546266 DAVIS VISION
Other 919114 DAVIS VISION
MEDICAID 02291789 DAVIS VISION

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