Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SERGEY IKONOSTASOV
Active Sole ProprietorSERGEY IKONOSTASOV is a Optician healthcare provider located in WARMINSTER, Pennsylvania. NPI 1144090200 is currently active in the NPPES registry. Verify at CMS.
Optician · WARMINSTER, PA
Registration Details
- NPI Number
- 1144090200
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2024 (2.6253005852274 yrs)
- Last Updated
- Jan 8, 2024
- License
-
153189 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
426 TALL OAKS DRWARMINSTER, PA, 189745209Browse PA providers · Browse ZIP 18974
- Phone
- 2672611121
- Fax
- 6105959203
- Primary Specialty
-
Optician
156F00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.