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Contact Information

EDWARD J MOYLAN, OD
537 PATCHOGUE ROAD
PORT JEFFERSON STATION, NY11776
 Phone: 631-642-2020
 Fax: 631-642-3938
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for EDWARD J MOYLAN · (Male)

NPI Number 1063588424
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/28/2006
Last updated 07/07/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # TUV004922-1
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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