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
Phone: (707) 823-9141
Fax: (707) 823-5148
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609934785 | NPPES |
| California | MEDICAID | SD0060870 |
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