Koppel, Lior

Koppel, Lior is an individual health care provider with primary practice located at 911 Oak Tree Ave Ste C , South Plainfield NJ 07080-5130. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Koppel, Lior can be contacted via phone (908) 822-1100.

Contact Information

Primary practice address
911 Oak Tree Ave Ste C South Plainfield NJ 07080-5130
Fax: (908) 822-1102
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0A05164 New Jersey

Profile Details

NPI number 1356492789
LBN Legal business name Koppel, Lior
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2007
Last updated Jan 7th, 2011 - about 13 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 1356492789 NPPES
New Jersey MEDICAID 6330100

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