Fortuna, Theodore Peter

Fortuna, Theodore Peter is an individual health care provider with primary practice located at 113 Main St Ste 2, Batavia NY 14020. He recently has only one registered license in Eye and Vision Services Providers / Ophthalmic, which is considered as his primary health care specialty. Fortuna, Theodore Peter can be contacted via phone (585) 344-1345.

Contact Information

Primary practice address
113 Main St Ste 2 Batavia NY 14020
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ophthalmic 156FX1100X 5041 New York

Profile Details

NPI number 1649220013
LBN Legal business name Fortuna, Theodore Peter
Credentials OPHTHALMIC DISPENSER
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 8th, 2007 - 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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