Stinvil, Venessa Lynn
Stinvil, Venessa Lynn is an individual health care provider with primary practice located at 4 Sagamore Ln , Dix Hills NY 11746-6014. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Stinvil, Venessa Lynn can be contacted via phone (631) 836-9100.Contact Information
Primary practice address
4 Sagamore Ln
Dix Hills NY 11746-6014
Phone: (631) 836-9100
Fax: (631) 253-4101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18004477A | Indiana |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG003729 | Pennsylvania |
| Eye and Vision Services Providers / Optometrist | 152W00000X | TPOP37 | Florida |
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV005425 | New York |
Profile Details
| NPI number | 1285670588 |
|---|---|
| LBN Legal business name | Stinvil, Venessa Lynn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Apr 9th, 2024 - about 8 months 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 | 1285670588 | NPPES |
| New York | MEDICAID | 01452753 | |
| New York | Other | 235 | |
| New York | Other | 51597 |
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