Mattoon, Keith Gilbert

Mattoon, Keith Gilbert is an individual health care provider with primary practice located at 350 E Fairmount Ave , Lakewood NY 14750-2134. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Mattoon, Keith Gilbert can be contacted via phone (716) 763-0954.

Contact Information

Primary practice address
350 E Fairmount Ave Lakewood NY 14750-2134
Phone: (716) 763-0954
Fax: (716) 763-0953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 008518 New York

Profile Details

NPI number 1366958142
LBN Legal business name Mattoon, Keith Gilbert
Credentials LICENSED OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2017
Last updated Dec 16th, 2017 - about 9 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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