Ivanchenko, Vladislav
Ivanchenko, Vladislav is an sole proprietor health care provider with primary practice located at 1128 Highway 20 W Ste A , Mcdonough GA 30253-6520. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ivanchenko, Vladislav can be contacted via phone (770) 302-1420.Contact Information
Primary practice address
1128 Highway 20 W Ste A
Mcdonough GA 30253-6520
Phone: (770) 302-1420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT003096 | Georgia |
Profile Details
| NPI number | 1497210009 |
|---|---|
| LBN Legal business name | Ivanchenko, Vladislav |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2019 |
| Last updated | Feb 7th, 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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