Landon, Sandra Kae

Landon, Sandra Kae is an individual health care provider with primary practice located at 6003 Big Tree Rd , Lakeville NY 14480-9753. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Landon, Sandra Kae can be contacted via phone (585) 346-2400.

Contact Information

Primary practice address
6003 Big Tree Rd Lakeville NY 14480-9753
Fax: (585) 346-2413
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 006039-1 New York

Profile Details

NPI number 1700383072
LBN Legal business name Landon, Sandra Kae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2018
Last updated Apr 12th, 2018 - about 8 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 1700383072 NPPES
New York MEDICAID 1417350463

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