Vitelli, Theodore M
Vitelli, Theodore M is an individual health care provider with primary practice located at 65 Sea Street Ext , Hyannis MA 02601-5109. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Vitelli, Theodore M can be contacted via phone (508) 775-0881.Contact Information
Primary practice address
65 Sea Street Ext
Hyannis MA 02601-5109
Phone: (508) 775-0881
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0EG000424 | Pennsylvania |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4824 | Massachusetts |
Profile Details
| NPI number | 1700835030 |
|---|---|
| LBN Legal business name | Vitelli, Theodore M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Nov 9th, 2017 - about 8 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 | 1700835030 | NPPES |
| Massachusetts | MEDICAID | 110087501A |
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