Mladek, Jiri
Mladek, Jiri is an individual health care provider with primary practice located at 311 Barnum Ave , Port Jefferson NY 11777-1682. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mladek, Jiri can be contacted via phone (631) 928-6400.Contact Information
Primary practice address
311 Barnum Ave
Port Jefferson NY 11777-1682
Phone: (631) 928-6400
Fax: (631) 928-1353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4440 | New York |
Profile Details
| NPI number | 1134293194 |
|---|---|
| LBN Legal business name | Mladek, Jiri |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 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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