Parod, Martin William
Parod, Martin William is an sole proprietor health care provider with primary practice located at 455 Vista Dr , Sparta TN 38583-1360. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Parod, Martin William can be contacted via phone (931) 836-6433.Contact Information
Primary practice address
455 Vista Dr
Sparta TN 38583-1360
Phone: (931) 836-6433
Fax: (931) 836-2753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD2391 | Tennessee |
Profile Details
| NPI number | 1023090594 |
|---|---|
| LBN Legal business name | Parod, Martin William |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Sep 17th, 2008 - about 16 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 | 1023090594 | NPPES |
| Tennessee | MEDICAID | 3946561 | |
| Tennessee | Other | OD2391 |
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