Carlson, Geoffrey Peter
Carlson, Geoffrey Peter is an individual health care provider with primary practice located at 2585 Oro Dam Blvd E , Oroville CA 95966-6005. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Carlson, Geoffrey Peter can be contacted via phone (530) 922-2020.Contact Information
Primary practice address
2585 Oro Dam Blvd E
Oroville CA 95966-6005
Phone: (530) 922-2020
Fax: (530) 922-2021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9216 | California |
Profile Details
| NPI number | 1518968213 |
|---|---|
| LBN Legal business name | Carlson, Geoffrey Peter |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Mar 8th, 2021 - about 5 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 | 1518968213 | NPPES |
| California | Other | ZZZ52852Y | BLUE SHIELD |
| California | MEDICAID | 1518968213 | BLUE SHIELD |
| California | Other | 410010871 | BLUE SHIELD |
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