Klodnycky, Roman V.

Klodnycky, Roman V. is an sole proprietor health care provider with primary practice located at 1201 S Dirksen Pkwy , Springfield IL 62703-2122. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Klodnycky, Roman V. can be contacted via phone (217) 789-0194.

Contact Information

Primary practice address
1201 S Dirksen Pkwy Springfield IL 62703-2122
Phone: (217) 789-0194
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X Illinois

Profile Details

NPI number 1598979916
LBN Legal business name Klodnycky, Roman V.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2007
Last updated Jul 8th, 2007 - about 19 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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