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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679791065 NPPES
New York MEDICAID 02602862

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