Siegel, Lawrence D.
Siegel, Lawrence D. is an sole proprietor health care provider with primary practice located at 300 Needham St #4, Newton MA 02464-1532. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Siegel, Lawrence D. can be contacted via phone (617) 232-0220.Contact Information
Primary practice address
300 Needham St #4
Newton MA 02464-1532
Phone: (617) 232-0220
Fax: (617) 734-9738
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 3545 | Massachusetts |
Profile Details
NPI number | 1699779520 |
---|---|
LBN Legal business name | Siegel, Lawrence D. |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 9th, 2005 |
Last updated | May 14th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699779520 | NPPES |
Massachusetts | MEDICAID | 110016311A |
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