Landau, Mark Falon
Landau, Mark Falon is an sole proprietor health care provider with primary practice located at 555 Van Reed Rd , Wyomissing PA 19610-1769. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Landau, Mark Falon can be contacted via phone (610) 378-5560.Contact Information
Primary practice address
555 Van Reed Rd
Wyomissing PA 19610-1769
Phone: (610) 378-5560
Fax: (610) 378-1400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OE-005894-T | Pennsylvania |
Profile Details
| NPI number | 1164413316 |
|---|---|
| LBN Legal business name | Landau, Mark Falon |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Feb 21st, 2008 - about 16 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 | 1164413316 | NPPES |
| Pennsylvania | Other | LA193982 | HIGHMARK BLUE SHIELD |
| Pennsylvania | Other | 01712901 | HIGHMARK BLUE SHIELD |
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