Yarosh, Robert T

Yarosh, Robert T is an individual health care provider with primary practice located at 164 E Center St , Manchester CT 06040-5241. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Yarosh, Robert T can be contacted via phone (860) 649-2020.

Contact Information

Primary practice address
164 E Center St Manchester CT 06040-5241
Phone: (860) 649-2020
Fax: (860) 643-1252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0823 Connecticut
Eye and Vision Services Providers / Optometrist 152W00000X 2525 Massachusetts
Eye and Vision Services Providers / Optometrist 152W00000X 330 New Hampshire

Profile Details

NPI number 1184613259
LBN Legal business name Yarosh, Robert T
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jul 8th, 2007 - about 19 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 1184613259 NPPES
Connecticut MEDICAID 4051579

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