Individual
MR. HERMINIO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
006666
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02291789
—
NY
01
—
44101
DAVIS VISION
—
05
—
810546266
—
NY
01
—
919114
BLOCK VISION
NY
Enumeration date
10/01/2008
Last updated
10/01/2008
Update your record
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