Grudis, Tom X
Grudis, Tom X is an individual health care provider with primary practice located at 428 Spruce St , Scranton PA 18503-1821. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Grudis, Tom X can be contacted via phone (570) 346-1771.Contact Information
Primary practice address
428 Spruce St
Scranton PA 18503-1821
Phone: (570) 346-1771
Fax: (570) 346-5812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | Pennsylvania |
Profile Details
| NPI number | 1447273610 |
|---|---|
| LBN Legal business name | Grudis, Tom X |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Feb 7th, 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 | 1447273610 | NPPES |
| Pennsylvania | Other | 0498520001 | MEDICARE PART B |
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