Bartuccio Valentino, Mary

Bartuccio Valentino, Mary is an individual health care provider with primary practice located at 1225 Madison Ave , Memphis TN 38104-2211. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Pediatrics is her primary health care specialty. Bartuccio Valentino, Mary can be contacted via phone (901) 722-3656.

Contact Information

Primary practice address
1225 Madison Ave Memphis TN 38104-2211
Phone: (901) 722-3656
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3081 Tennessee
Eye and Vision Services Providers / Pediatrics 152WP0200X OPC3082 Florida
Eye and Vision Services Providers / Pediatrics 152WP0200X 3081 Tennessee

Profile Details

NPI number 1326124991
LBN Legal business name Bartuccio Valentino, Mary
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Feb 8th, 2019 - about 7 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 1326124991 NPPES
Florida MEDICAID 620411200

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