Lustig, Todd
Lustig, Todd is an individual health care provider with primary practice located at 360 Montauk Hwy , West Islip NY 11795-4403. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lustig, Todd can be contacted via phone (631) 422-1110.Contact Information
Primary practice address
360 Montauk Hwy
West Islip NY 11795-4403
Phone: (631) 422-1110
Fax: (631) 422-1916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV0056671 | New York |
Profile Details
| NPI number | 1659342954 |
|---|---|
| LBN Legal business name | Lustig, Todd |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Mar 3rd, 2015 - about 9 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 | 1659342954 | NPPES |
| New York | MEDICAID | 01953011 |
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