Oppenheim, Gary S
Oppenheim, Gary S is an sole proprietor health care provider with primary practice located at 33308 Grand River Ave , Farmington MI 48336-3124. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Oppenheim, Gary S can be contacted via phone (248) 474-5125.Contact Information
Primary practice address
33308 Grand River Ave
Farmington MI 48336-3124
Phone: (248) 474-5125
Fax: (248) 474-4854
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901002613 | Michigan |
Profile Details
| NPI number | 1689656837 |
|---|---|
| LBN Legal business name | Oppenheim, Gary S |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2005 |
| Last updated | May 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689656837 | NPPES |
| Michigan | MEDICAID | 317837094 | |
| Michigan | MEDICAID | 3178370 | |
| Michigan | Other | 900F366860 |
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