Klark, Raymond A
Klark, Raymond A is an sole proprietor health care provider with primary practice located at 236 Pinewoods Ave , Tonawanda NY 14150-7068. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Klark, Raymond A can be contacted via phone (716) 836-1909.Contact Information
Primary practice address
236 Pinewoods Ave
Tonawanda NY 14150-7068
Phone: (716) 836-1909
Fax: (716) 434-7809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 4077 | New York |
Profile Details
| NPI number | 1639292535 |
|---|---|
| LBN Legal business name | Klark, Raymond A |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639292535 | NPPES |
| New York | MEDICAID | 00707231 |
Popular Providers
-
Komm, Richard Barry
2342 Niagara Falls Blvd , Tonawanda NY 14150-4759 -
Damm, William George
115 Lyra St , Orange Park FL 32073-2504 -
Keyes, Patrick
886 Niagara Falls Blvd , North Tonawanda NY 14120-2006 -
Rizzo, Joseph
642 Sheridan Dr , Tonawanda NY 14150-7853 -
Kroening, Brent M
968 Payne Ave , North Tonawanda NY 14120-3234 -
Folmsbee, Ross H
968 Payne Ave , North Tonawanda NY 14120-3234 -
Ferreira, Maria L
2 Hospital Dr Ste 201, Holyoke MA 01040-6614 -
Rehner, Janet Marie
968 Payne Ave , North Tonawanda NY 14120-3234