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
Fax: (631) 654-0606
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114915600 NPPES
New York MEDICAID 00338129

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