Rodriguez, Hector

Rodriguez, Hector is an individual health care provider with primary practice located at 5202 Bergenline Ave , West New York NJ 07093-5524. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Rodriguez, Hector can be contacted via phone (201) 974-2600.

Contact Information

Primary practice address
5202 Bergenline Ave West New York NJ 07093-5524
Fax: (201) 974-2999
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 31TD00331700 New Jersey

Profile Details

NPI number 1386848059
LBN Legal business name Rodriguez, Hector
Credentials OPTHALMIC DISPENSERS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Apr 30th, 2012 - about 12 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 1386848059 NPPES
New Jersey Other 3782 DAVIS VISION
New Jersey Other 144289 DAVIS VISION
New Jersey MEDICAID 6734804 DAVIS VISION
New Jersey Other 19034 DAVIS VISION
New Jersey Other 313241 DAVIS VISION

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