Chaffe, Geoffrey Bryan

Chaffe, Geoffrey Bryan is an sole proprietor health care provider with primary practice located at 6480 Palma Ave , Atascadero CA 93422-4208. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Chaffe, Geoffrey Bryan can be contacted via phone (805) 466-4877.

Contact Information

Primary practice address
6480 Palma Ave Atascadero CA 93422-4208
Fax: (805) 466-1149
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 6409T California

Profile Details

NPI number 1255373551
LBN Legal business name Chaffe, Geoffrey Bryan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Jun 25th, 2009 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255373551 NPPES
California MEDICAID SD0064090

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