Manguikian, Shahan A.

Manguikian, Shahan A. is an individual health care provider with primary practice located at 8061 Spyglass Hill Rd Ste 104A , Viera FL 32940-8297. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Manguikian, Shahan A. can be contacted via phone (321) 751-6609.

Contact Information

Primary practice address
8061 Spyglass Hill Rd Ste 104A Viera FL 32940-8297
Phone: (321) 751-6609
Fax: (321) 751-6033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OP 2715 Florida

Profile Details

NPI number 1568410702
LBN Legal business name Manguikian, Shahan A.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jun 18th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568410702 NPPES
Florida MEDICAID 085917600

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