Powell-Rivers, Carolyn Rosemary

Powell-Rivers, Carolyn Rosemary is an sole proprietor health care provider with primary practice located at 664 Bay St Bay St Optical Pavilion, Staten Island NY 10304-3829. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Powell-Rivers, Carolyn Rosemary can be contacted via phone (718) 727-5678.

Contact Information

Primary practice address
664 Bay St Bay St Optical Pavilion Staten Island NY 10304-3829
Phone: (718) 727-5678
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT004813-1 New York

Profile Details

NPI number 1598741076
LBN Legal business name Powell-Rivers, Carolyn Rosemary
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2005
Last updated Apr 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 1598741076 NPPES
New York MEDICAID 01065163

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