Schlactus, Barry
Schlactus, Barry is an individual health care provider with primary practice located at 124 Smith Haven Mall , Lake Grove NY 11755-1214. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Schlactus, Barry can be contacted via phone (631) 724-9055.Contact Information
Primary practice address
124 Smith Haven Mall
Lake Grove NY 11755-1214
Phone: (631) 724-9055
Fax: (631) 724-9142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV003919-1 | New York |
Profile Details
| NPI number | 1588784094 |
|---|---|
| LBN Legal business name | Schlactus, Barry |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Sep 12th, 2014 - about 11 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 | 1588784094 | NPPES |
| New York | MEDICAID | 2567013 |
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