Shimanova, Olga
Shimanova, Olga is an sole proprietor health care provider with primary practice located at 9102 63 Dr , Rego Park NY 11374-3850. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Shimanova, Olga can be contacted via phone (718) 897-5101.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 007240-1 | New York |
Profile Details
| NPI number | 1396826616 |
|---|---|
| LBN Legal business name | Shimanova, Olga |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jun 2nd, 2008 - about 17 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 | 1396826616 | NPPES |
| New York | Other | 11554176 | CAQH |
| New York | Other | NY7240 | CAQH |
| New York | MEDICAID | 02181708 | CAQH |
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