Mintz, Norman Jay

Mintz, Norman Jay is an sole proprietor health care provider with primary practice located at 825 Gravenstein Hwy N Ste 7, Sebastopol CA 95472-2844. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Mintz, Norman Jay can be contacted via phone (707) 823-9141.

Contact Information

Primary practice address
825 Gravenstein Hwy N Ste 7 Sebastopol CA 95472-2844
Fax: (707) 823-5148
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 6087T California
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 6087T California

Profile Details

NPI number 1609934785
LBN Legal business name Mintz, Norman Jay
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Jan 27th, 2009 - about 17 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 1609934785 NPPES
California MEDICAID SD0060870

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