National Provider Identifier Database

MOHAMED F BACCHUS, OPTICIAN OPHTHALMIC – NPI #1184705873
Optician


Contact Information

MOHAMED F BACCHUS, OPTICIAN OPHTHALMIC
356 19TH ST
NEW YORK, NY10003
Phone: 212-674-4121
Fax:
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for MOHAMED F BACCHUS

NPI Number 1184705873
Credentials OPTICIAN OPHTHALMIC
Entity Individual
Enumeration date 10/18/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: C005355
  • NY Medicaid: 01338403
Hospital affiliation n/a

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.

Reviews for MOHAMED F BACCHUS, OPTICIAN OPHTHALMIC

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