Momnie, David C

Momnie, David C is an individual health care provider with primary practice located at 113 Center St , Chicopee MA 01013-1667. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Momnie, David C can be contacted via phone (413) 592-7777.

Contact Information

Primary practice address
113 Center St Chicopee MA 01013-1667
Phone: (413) 592-7777
Fax: (413) 592-9704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2447 Massachusetts

Profile Details

NPI number 1255303566
LBN Legal business name Momnie, David C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Sep 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255303566 NPPES
Massachusetts MEDICAID 0324175
Massachusetts Other 14538
Massachusetts Other W15247
Massachusetts Other 3607276-001

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