Doctor Name: | MARK M AINSWORTH |
NPI Number: | 1255318861 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | TUV005303-1 |
Business Practice Address: | 394 E State St Herkimer, NY - 133502026 |
Business Phone Number: | 3158669667 |
Business Fax Number: | 3158669668 |
Mailing Address: | 394 E State St, HERKIMER |
State: | NY |
Postal Code: | 133502026 |
Phone Number: | 3158669667 |
Fax Number: | 3158669668 |
NPI Enumeration Date: | 12/23/2005 |
NPI Last Update Date: | 03/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | TUV005303-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |