National Provider Identifier Database

MARK M LAVA, OPTICIAN – NPI #1275622490
Optician


Contact Information

MARK M LAVA, OPTICIAN
8949 BAY PKWY
BROOKLYN, NY11214-6437
Phone: 718-372-1212
Fax:
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for MARK M LAVA

NPI Number 1275622490
Credentials OPTICIAN
Entity Individual
Enumeration date 10/12/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 3926
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 MARK M LAVA, OPTICIAN

There are currently no reviews for MARK M LAVA, OPTICIAN


NPIdb - Home
v2.201