Lopez, Gregory M
Lopez, Gregory M is an individual health care provider with primary practice located at 6288 Woodhaven Blvd , Rego Park NY 11374-3738. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lopez, Gregory M can be contacted via phone (718) 478-2000.Contact Information
Primary practice address
6288 Woodhaven Blvd
Rego Park NY 11374-3738
Phone: (718) 478-2000
Fax: (718) 478-2001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV004048 | New York |
Profile Details
| NPI number | 1700820255 |
|---|---|
| LBN Legal business name | Lopez, Gregory M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Nov 21st, 2012 - about 12 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 | 1700820255 | NPPES |
| New York | MEDICAID | 00713346 |
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