Price, Ira Marc

Price, Ira Marc is an sole proprietor health care provider with primary practice located at 9301 Jamaica Ave , Woodhaven NY 11421-2220. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Price, Ira Marc can be contacted via phone (718) 847-8877.

Contact Information

Primary practice address
9301 Jamaica Ave Woodhaven NY 11421-2220
Phone: (718) 847-8877
Fax: (718) 849-5934
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV004811 New York
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X TUV004811 New York
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X TUV004811 New York

Profile Details

NPI number 1831265446
LBN Legal business name Price, Ira Marc
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 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 1831265446 NPPES
New York MEDICAID 01526636

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