Makedonsky, Michael
Makedonsky, Michael is an sole proprietor health care provider with primary practice located at 6918 Geary Blvd , San Francisco CA 94121-1621. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Makedonsky, Michael can be contacted via phone (415) 750-0100.Contact Information
Primary practice address
6918 Geary Blvd
San Francisco CA 94121-1621
Phone: (415) 750-0100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 12463T | California |
Profile Details
| NPI number | 1093774150 |
|---|---|
| LBN Legal business name | Makedonsky, Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 18th, 2006 |
| Last updated | May 5th, 2010 - about 14 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 | 1093774150 | NPPES |
| California | MEDICAID | SD0124630 |
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