Mendelson, Edward Neil

Mendelson, Edward Neil is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7208. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mendelson, Edward Neil can be contacted via phone (214) 645-0039.

Contact Information

Primary practice address
5323 Harry Hines Blvd Dallas TX 75390-7208
Fax: (214) 645-0078
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 03666T Texas

Profile Details

NPI number 1578532933
LBN Legal business name Mendelson, Edward Neil
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Nov 7th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578532933 NPPES
Texas MEDICAID 037449801

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