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Contact Information

THEODORE P FORTUNA, OPHTHALMIC DISPENSER
113 MAIN ST
STE 2
BATAVIA, NY14020
 Phone: 585-344-1345
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmic Technician/Technologist

156FX1100X
Indicates primary specialty

NPI Profile & details for THEODORE P FORTUNA · (Male)

NPI # 1649220013
Status Active
Credentials OPHTHALMIC DISPENSER
Entity Individual
Enumeration date 05/10/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 5041
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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