Tarnoff, Charles M

Tarnoff, Charles M is an individual health care provider with primary practice located at 120 S 7Th St , Indiana PA 15701-2739. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Tarnoff, Charles M can be contacted via phone (724) 465-6232.

Contact Information

Primary practice address
120 S 7Th St Indiana PA 15701-2739
Phone: (724) 465-6232
Fax: (724) 465-0340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000382 Pennsylvania

Profile Details

NPI number 1497720965
LBN Legal business name Tarnoff, Charles M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Feb 4th, 2009 - about 17 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 1497720965 NPPES
Pennsylvania MEDICAID 0005499940011

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