Weiss, David M
Weiss, David M is an sole proprietor health care provider with primary practice located at 165-01 Jamaica Ave , Jamaica NY 11432-4900. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Weiss, David M can be contacted via phone (718) 523-0730.Contact Information
Primary practice address
165-01 Jamaica Ave
Jamaica NY 11432-4900
Phone: (718) 523-0730
Fax: (718) 523-6704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV4612 | New York |
Profile Details
| NPI number | 1386605509 |
|---|---|
| LBN Legal business name | Weiss, David M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Apr 27th, 2015 - about 11 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 | 1386605509 | NPPES |
| New York | MEDICAID | 01158525 |
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