Mazzarella, Jarett A
Mazzarella, Jarett A is an individual health care provider with primary practice located at 1601 Brenner Ave 11-1 (Optometry Service), Salisbury NC 28144-2515. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mazzarella, Jarett A can be contacted via phone (814) 241-6519.Contact Information
Primary practice address
1601 Brenner Ave 11-1 (Optometry Service)
Salisbury NC 28144-2515
Phone: (814) 241-6519
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2002 | North Carolina |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG001701 | Pennsylvania |
Profile Details
| NPI number | 1578508933 |
|---|---|
| LBN Legal business name | Mazzarella, Jarett A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Jun 10th, 2014 - about 11 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 | 1578508933 | NPPES |
| North Carolina | MEDICAID | 5904113 |
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