Walia, Jagmohan
Walia, Jagmohan is an sole proprietor health care provider with primary practice located at 25 Old Shore Rd , Port Washington NY 11050-2222. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Walia, Jagmohan can be contacted via phone (516) 944-5509.Contact Information
Primary practice address
25 Old Shore Rd
Port Washington NY 11050-2222
Phone: (516) 944-5509
Fax: (516) 944-5508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 006426 | New York |
Profile Details
| NPI number | 1316956543 |
|---|---|
| LBN Legal business name | Walia, Jagmohan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| 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 | 1316956543 | NPPES |
| New York | MEDICAID | 02190081 |
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