Mortimer, Michael Dale
Mortimer, Michael Dale is an individual health care provider with primary practice located at 130 S Union St Ste. 8, Olean NY 14760-9807. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mortimer, Michael Dale can be contacted via phone (716) 372-8644.Contact Information
Primary practice address
130 S Union St Ste. 8
Olean NY 14760-9807
Phone: (716) 372-8644
Fax: (716) 373-4257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3906 | New York |
Profile Details
| NPI number | 1801881578 |
|---|---|
| LBN Legal business name | Mortimer, Michael Dale |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Jan 21st, 2009 - about 15 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 | 1801881578 | NPPES |
| New York | Other | NY3906 | EYEMED |
| New York | MEDICAID | 00606964 | EYEMED |
Popular Providers
-
Eckard, Dax M
3353 N Gloster St , Tupelo MS 38804-9735 -
Cloyd, Frances G
709 S Riverside Ave , Medford OR 97501-7837 -
Roth, Reed T
28370 Kensington Ln Suite A, Perrysburg OH 43551-4163 -
Sude, Jerome
3510 Manchester Rd , Coventry Township OH 44319-1415 -
Grzankowski, Donald P
168 N Union St , Olean NY 14760-2735 -
Varley, Richard W
508 W Chickasha Ave , Chickasha OK 73018-2412 -
Tao, Tony Yu
1150 N Watters Rd Suite 107, Allen TX 75013-5508 -
Ludden, Tracy Lynn
912 W State St , Olean NY 14760-2242