Waite, Lawrence John
Waite, Lawrence John is an individual health care provider with primary practice located at 382 W Church St , Elmira NY 14901-2621. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Waite, Lawrence John can be contacted via phone (607) 733-2694.Contact Information
Primary practice address
382 W Church St
Elmira NY 14901-2621
Phone: (607) 733-2694
Fax: (607) 733-1139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV4209-1 | New York |
Profile Details
| NPI number | 1578561122 |
|---|---|
| LBN Legal business name | Waite, Lawrence John |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Nov 6th, 2007 - about 17 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 | 1578561122 | NPPES |
| New York | Other | OVS71 | BC&BS |
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