Renta-Skyer, Vivian L.
Renta-Skyer, Vivian L. is an sole proprietor health care provider with primary practice located at 1758 Brentwood Rd , Brentwood NY 11717-5522. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Renta-Skyer, Vivian L. can be contacted via phone (631) 231-2073.Contact Information
Primary practice address
1758 Brentwood Rd
Brentwood NY 11717-5522
Phone: (631) 231-2073
Fax: (631) 231-2008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV005820 | New York |
Profile Details
| NPI number | 1023075587 |
|---|---|
| LBN Legal business name | Renta-Skyer, Vivian L. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Nov 12th, 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 | 1023075587 | NPPES |
| New York | MEDICAID | C23781 |
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