Boyd, Sandra L.
Boyd, Sandra L. is an sole proprietor health care provider with primary practice located at 131 Rue De Yoe Suite B, Modesto CA 95354-1355. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Boyd, Sandra L. can be contacted via phone (209) 526-8638.Contact Information
Primary practice address
131 Rue De Yoe Suite B
Modesto CA 95354-1355
Phone: (209) 526-8638
Fax: (209) 526-8638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5244T | California |
Profile Details
| NPI number | 1609837954 |
|---|---|
| LBN Legal business name | Boyd, Sandra L. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Mar 23rd, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609837954 | NPPES |
| California | MEDICAID | SD0052440 |
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