Ruttanasee, Jet Thanetr

Ruttanasee, Jet Thanetr is an individual health care provider with primary practice located at 7010 Austin St Ste 2 , Forest Hills NY 11375-4763. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ruttanasee, Jet Thanetr can be contacted via phone (718) 575-8288.

Contact Information

Primary practice address
7010 Austin St Ste 2 Forest Hills NY 11375-4763
Phone: (718) 575-8288
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV 007165 New York

Profile Details

NPI number 1396931689
LBN Legal business name Ruttanasee, Jet Thanetr
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2007
Last updated Feb 2nd, 2021 - about 3 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 1396931689 NPPES
New York MEDICAID 03086528

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