Santos, George Augustus
Santos, George Augustus is an sole proprietor health care provider with primary practice located at 638 Main St. , Vineyard Haven MA 02568-0327. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Santos, George Augustus can be contacted via phone (508) 693-7222.Contact Information
Primary practice address
638 Main St.
Vineyard Haven MA 02568-0327
Phone: (508) 693-7222
Fax: (508) 693-8739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3235 | Massachusetts |
Profile Details
| NPI number | 1851490312 |
|---|---|
| LBN Legal business name | Santos, George Augustus |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Apr 24th, 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 | 1851490312 | NPPES |
| Massachusetts | MEDICAID | 0353647 |
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