Knapp, Donald Bruce

Knapp, Donald Bruce is an sole proprietor health care provider with primary practice located at 392 W Main St , West Winfield NY 13491-2903. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Knapp, Donald Bruce can be contacted via phone (315) 822-5678.

Contact Information

Primary practice address
392 W Main St West Winfield NY 13491-2903
Phone: (315) 822-5678
Fax: (315) 822-5973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT003992-1 New York

Profile Details

NPI number 1184614109
LBN Legal business name Knapp, Donald Bruce
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2005
Last updated Feb 18th, 2020 - about 5 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 1184614109 NPPES
New York Other 0005109317 AETNA
New York Other P010003992 AETNA
New York Other P017002202 AETNA
New York Other 16-1182665 AETNA
New York Other P010003992 AETNA
New York MEDICAID 00667230 AETNA
New York Other 16-1182665 AETNA
New York Other 161182665001 AETNA
New York Other 161182665001 AETNA
New York Other 595113 AETNA
New York Other 16-1182665-002 AETNA
New York Other P017002202 AETNA
New York Other 16-1182665 AETNA
New York Other 200055337 AETNA
New York Other N 1790859965 AETNA

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