Mermelstein, Jack Sol

Mermelstein, Jack Sol is an individual health care provider with primary practice located at 4-14 Saddle River Rd Suite 202, Fair Lawn NJ 07410-5632. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mermelstein, Jack Sol can be contacted via phone (201) 797-2747.

Contact Information

Primary practice address
4-14 Saddle River Rd Suite 202 Fair Lawn NJ 07410-5632
Fax: (201) 797-5809
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3650 New Jersey

Profile Details

NPI number 1184643843
LBN Legal business name Mermelstein, Jack Sol
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 8th, 2007 - about 17 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 1184643843 NPPES
New Jersey MEDICAID 0683302

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