Lopez, Irma Liliana
Lopez, Irma Liliana is an individual health care provider with primary practice located at 11104 Liberty Ave , South Richmond Hill NY 11419-1812. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Lopez, Irma Liliana can be contacted via phone (718) 641-3450.Contact Information
Primary practice address
11104 Liberty Ave
South Richmond Hill NY 11419-1812
Phone: (718) 641-3450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV006453-1 | New York |
Profile Details
| NPI number | 1679791065 |
|---|---|
| LBN Legal business name | Lopez, Irma Liliana |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | May 25th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679791065 | NPPES |
| New York | MEDICAID | 02602862 |
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