Kansol, Martin Alan
Kansol, Martin Alan is an sole proprietor health care provider with primary practice located at 3098 W Lake Mary Blvd , Lake Mary FL 32746-6742. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kansol, Martin Alan can be contacted via phone (407) 321-6434.Contact Information
Primary practice address
3098 W Lake Mary Blvd
Lake Mary FL 32746-6742
Phone: (407) 321-6434
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC002152 | Florida |
Profile Details
| NPI number | 1235253725 |
|---|---|
| LBN Legal business name | Kansol, Martin Alan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2007 |
| Last updated | May 8th, 2009 - about 16 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 | 1235253725 | NPPES |
| Florida | MEDICAID | 078422200 | |
| Florida | Other | 592903075 | |
| Florida | Other | OPC002152 |
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