Derienzo, Frank

Derienzo, Frank is an individual health care provider with primary practice located at 123 River Drive , Jersey City NJ 07310-1615. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Occupational Vision is his primary health care specialty. Derienzo, Frank can be contacted via phone (201) 222-3937.

Contact Information

Primary practice address
123 River Drive Jersey City NJ 07310-1615
Phone: (201) 222-3937
Fax: (201) 798-6021
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Occupational Vision 152WX0102X 27OA000470600 New Jersey
Eye and Vision Services Providers / Optometrist 152W00000X TUV004989 New York

Profile Details

NPI number 1215987888
LBN Legal business name Derienzo, Frank
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Apr 19th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215987888 NPPES
New York MEDICAID 04001052

Popular Providers