Greidinger, Larry J

Greidinger, Larry J is an individual health care provider with primary practice located at 4 Princess Rd Ste 202, Lawrenceville NJ 08648-2322. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Greidinger, Larry J can be contacted via phone (609) 219-9000.

Contact Information

Primary practice address
4 Princess Rd Ste 202 Lawrenceville NJ 08648-2322
Phone: (609) 219-9000
Fax: (609) 219-1313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00396800 New Jersey
Eye and Vision Services Providers / Optometrist 152W00000X 27TO00049400 New Jersey

Profile Details

NPI number 1649278839
LBN Legal business name Greidinger, Larry J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Sep 19th, 2012 - about 13 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 1649278839 NPPES
New Jersey Other 0116010 AETNA
New Jersey Other 222516468 AETNA
New Jersey MEDICAID 0760404 AETNA

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