Won, Jorge
Won, Jorge is an sole proprietor health care provider with primary practice located at 84 07 Roosevelt Avenue , Jackson Heights NY 11372. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Won, Jorge can be contacted via phone (718) 651-2020.Contact Information
Primary practice address
84 07 Roosevelt Avenue
Jackson Heights NY 11372
Phone: (718) 651-2020
Fax: (718) 651-2034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV0045621 | New York |
Profile Details
| NPI number | 1336228667 |
|---|---|
| LBN Legal business name | Won, Jorge |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Apr 23rd, 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 | 1336228667 | NPPES |
| New York | MEDICAID | 00909999 |
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