White, Austin Matthew Ciaz
White, Austin Matthew Ciaz is an sole proprietor health care provider with primary practice located at 4336B White Plains Rd , Bronx NY 10466-3094. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. White, Austin Matthew Ciaz can be contacted via phone (718) 405-7211.Contact Information
Primary practice address
4336B White Plains Rd
Bronx NY 10466-3094
Phone: (718) 405-7211
Fax: (718) 405-7599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 005575 | New York |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | VUT5575 | New York |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002905 | Connecticut |
Profile Details
| NPI number | 1528012333 |
|---|---|
| LBN Legal business name | White, Austin Matthew Ciaz |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | May 5th, 2023 - about 2 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 | 1528012333 | NPPES |
| New York | MEDICAID | 01503153 |
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