Mondo, Anthony
Mondo, Anthony is an individual health care provider with primary practice located at 4160 Route 31 , Clay NY 13041-8719. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mondo, Anthony can be contacted via phone (315) 546-0393.Contact Information
Primary practice address
4160 Route 31
Clay NY 13041-8719
Phone: (315) 546-0393
Fax: (315) 546-0393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV0057971 | New York |
Profile Details
| NPI number | 1225005986 |
|---|---|
| LBN Legal business name | Mondo, Anthony |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Feb 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225005986 | NPPES |
| New York | MEDICAID | 02367742 |
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