Apple Valley Family Optometry Centre
LBN: Apple Valley Family Optometry Centre
Apple Valley Family Optometry Centre is an health care organization with primary practice located at 15972 Tuscola Rd Suite 101, Apple Valley CA 92307-2106. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Apple Valley Family Optometry Centre can be contacted via phone (760) 946-2700, or through Wallis, Steven Bruce via phone (760) 946-2700.
Contact Information
Primary practice address
15972 Tuscola Rd Suite 101
Apple Valley CA 92307-2106
Phone: (760) 946-2700
Fax: (760) 946-3355
Website:
Authorized official contact:
Name: Wallis, Steven Bruce Doctor of Optometry (OD)
Phone: (760) 946-2700
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7082T | California |
Profile Details
| NPI number | 1891826210 |
|---|---|
| LBN Legal business name | Apple Valley Family Optometry Centre |
| DBA Doing business as | |
| Authorized official | Wallis, Steven Bruce Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Aug 6th, 2009 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891826210 | NPPES |
| California | MEDICAID | SD0070820 | |
| California | Other | ZZZ05917Z | |
| California | Other | ZZZ58328Z |
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