Olivos, Jose L

Olivos, Jose L is an sole proprietor health care provider with primary practice located at 11615 Jamaica Ave , Richmond Hill NY 11418-2433. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Olivos, Jose L can be contacted via phone (718) 847-9898.

Contact Information

Primary practice address
11615 Jamaica Ave Richmond Hill NY 11418-2433
Fax: (718) 847-9345
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 6871 New York

Profile Details

NPI number 1336316546
LBN Legal business name Olivos, Jose L
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2008
Last updated May 15th, 2008 - 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 1336316546 NPPES
New York MEDICAID 02687929

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