Mottola, Daniel

Mottola, Daniel is an sole proprietor health care provider with primary practice located at 4908 Wrightsville Ave , Wilmington NC 28403-5257. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mottola, Daniel can be contacted via phone (910) 791-2755.

Contact Information

Primary practice address
4908 Wrightsville Ave Wilmington NC 28403-5257
Phone: (910) 791-2755
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0985 North Carolina

Profile Details

NPI number 1770524100
LBN Legal business name Mottola, Daniel
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Feb 13th, 2019 - about 7 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 1770524100 NPPES
North Carolina MEDICAID 152W00000X
North Carolina MEDICAID 8909641
North Carolina Other 1770524100

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