Vogel, Mark S
Vogel, Mark S is an sole proprietor health care provider with primary practice located at 285 Sills Rd Suite 4C, East Patchogue NY 11772-4869. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Vogel, Mark S can be contacted via phone (631) 654-2020.Contact Information
Primary practice address
285 Sills Rd Suite 4C
East Patchogue NY 11772-4869
Phone: (631) 654-2020
Fax: (631) 654-0606
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | TUV003491 | New York |
Profile Details
NPI number | 1114915600 |
---|---|
LBN Legal business name | Vogel, Mark S |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 10th, 2005 |
Last updated | Jul 8th, 2007 - about 18 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 | 1114915600 | NPPES |
New York | MEDICAID | 00338129 |
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