Kossis, Paul
Kossis, Paul is an sole proprietor health care provider with primary practice located at 105 White Horse Pike , Haddon Heights NJ 08035-1909. He recently has 6 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Kossis, Paul can be contacted via phone (856) 547-1339.Contact Information
Primary practice address
105 White Horse Pike
Haddon Heights NJ 08035-1909
Phone: (856) 547-1339
Fax: (856) 546-8136
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA00558400 | New Jersey |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 27OA00558400 | New Jersey |
Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 27OA00558400 | New Jersey |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | 27OA00558400 | New Jersey |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | 27OA00558400 | New Jersey |
Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 27OA00558400 | New Jersey |
Profile Details
NPI number | 1194892455 |
---|---|
LBN Legal business name | Kossis, Paul |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 29th, 2006 |
Last updated | Sep 8th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194892455 | NPPES |
New Jersey | MEDICAID | 7849303 |
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