Kelly, Wayne J

Kelly, Wayne J is an individual health care provider with primary practice located at 1649 Northern Blvd , Manhasset NY 11030-3026. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Kelly, Wayne J can be contacted via phone (516) 365-4066.

Contact Information

Primary practice address
1649 Northern Blvd Manhasset NY 11030-3026
Phone: (516) 365-4066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 005159-1 New York

Profile Details

NPI number 1144320805
LBN Legal business name Kelly, Wayne J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2006
Last updated Feb 12th, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144320805 NPPES
New York Other 837 VISION SCREENING
New York MEDICAID 02604960 VISION SCREENING
New York Other 18046 VISION SCREENING
New York Other NY5159 VISION SCREENING
New York Other 1002050000 VISION SCREENING

Popular Providers