Pientka, Greg
Pientka, Greg is an sole proprietor health care provider with primary practice located at 640 W Boynton Beach Blvd , Boynton Beach FL 33426-3637. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pientka, Greg can be contacted via phone (561) 732-8088.Contact Information
Primary practice address
640 W Boynton Beach Blvd
Boynton Beach FL 33426-3637
Phone: (561) 732-8088
Fax: (561) 732-8112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC-3038 | Florida |
Profile Details
| NPI number | 1699723452 |
|---|---|
| LBN Legal business name | Pientka, Greg |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | Jun 8th, 2016 - about 10 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 | 1699723452 | NPPES |
| Florida | MEDICAID | 620319100 | |
| Florida | Other | E0504 |
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