Sisti, John Alan
Sisti, John Alan is an individual health care provider with primary practice located at 566 Toll Gate Rd , Warwick RI 02886-2716. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sisti, John Alan can be contacted via phone (401) 738-4800.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3173 | Florida |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002443 | Connecticut |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4007 | Massachusetts |
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODTA00541 | Rhode Island |
Profile Details
| NPI number | 1679603096 |
|---|---|
| LBN Legal business name | Sisti, John Alan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Mar 24th, 2010 - about 14 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 | 1679603096 | NPPES |
| Florida | MEDICAID | 620358200 | |
| Florida | MEDICAID | JS73492 | |
| Florida | Other | 20838 | |
| Florida | Other | 29241 | |
| Florida | Other | 52201 |
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