National Provider Identifier Database

HERMINIO FERNANDEZ, OPTICIAN – NPI #1477704161
Optician


Contact Information

HERMINIO FERNANDEZ, OPTICIAN
69-09 ROOSEVELT AVENUE
WOODSIDE, NY11377
Phone: 718-639-1392
Fax:
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for HERMINIO FERNANDEZ

NPI Number 1477704161
Credentials OPTICIAN
Entity Individual
Enumeration date 10/01/2008
Last updated 10/01/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 006666
  • NY Medicaid: 02291789
  • NY Medicaid: 810546266
  • Other: 44101 DAVIS VISION
  • NY Other: 919114 BLOCK VISION
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.

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