Monroe, David John

Monroe, David John is an sole proprietor health care provider with primary practice located at 214 Corbet St , Tarentum PA 15084-1815. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Monroe, David John can be contacted via phone (724) 224-8806.

Contact Information

Primary practice address
214 Corbet St Tarentum PA 15084-1815
Fax: (724) 224-0828
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000797 Pennsylvania

Profile Details

NPI number 1194710749
LBN Legal business name Monroe, David John
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2005
Last updated Jul 1st, 2008 - about 18 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 1194710749 NPPES
Pennsylvania Other 160594 COLE MANAGED VISION
Pennsylvania MEDICAID 001720839 COLE MANAGED VISION
Pennsylvania Other 121934 COLE MANAGED VISION
Pennsylvania Other 78019 COLE MANAGED VISION
Pennsylvania Other 565232 COLE MANAGED VISION
Pennsylvania Other 308997 COLE MANAGED VISION

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