Waterman, Michael R
Waterman, Michael R is an individual health care provider with primary practice located at 1 Paris Rd , New Hartford NY 13413-2350. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Waterman, Michael R can be contacted via phone (315) 797-9091.Contact Information
Primary practice address
1 Paris Rd
New Hartford NY 13413-2350
Phone: (315) 797-9091
Fax: (315) 797-9124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | VUT0005040 | New York |
Profile Details
| NPI number | 1730186768 |
|---|---|
| LBN Legal business name | Waterman, Michael R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2005 |
| Last updated | Jun 9th, 2009 - about 16 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 | 1730186768 | NPPES |
| New York | MEDICAID | 02601898 |
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