Maze, David A.
Maze, David A. is an individual health care provider with primary practice located at 136 N Cass Ave , Westmont IL 60559-1604. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Maze, David A. can be contacted via phone (630) 969-2807.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046009686 | Illinois |
Profile Details
| NPI number | 1881796589 |
|---|---|
| LBN Legal business name | Maze, David A. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Apr 9th, 2010 - about 16 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 | 1881796589 | NPPES |
| Illinois | Other | 5984120001 | PTAN |
| Illinois | Other | K16173 | PTAN |
Popular Providers
-
Varley, Richard W
508 W Chickasha Ave , Chickasha OK 73018-2412 -
Mothershed, Fred H
3353 N Gloster St , Tupelo MS 38804-9735 -
Luckhardt, Sharon Mary
136 N Cass Ave , Westmont IL 60559-1604 -
Wang, Anna S
828 N Cass Ave # 1B , Westmont IL 60559-1368 -
Sude, Jerome
3510 Manchester Rd , Coventry Township OH 44319-1415 -
Prasnikar, Anthony J
6321 Fairview Ave Suite A, Westmont IL 60559-2886 -
Seaton, Lindsaey E
4107 N Park St , Westmont IL 60559-1328 -
Wong, Alicia X
801 N Cass Ave Ste 203 , Westmont IL 60559-1162