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Contact Information

MJD OPTICAL CORP
1053 ROUTE 58 ROANOKE AVE
RIVERHEAD, NY11901
 Phone: 631-727-7777
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MJD OPTICAL CORP · (Female)

NPI Number 1922569136
Status Active
Credentials
Entity Individual
Enumeration date 03/29/2019
Last updated 03/29/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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