Cornforth, Lee
Cornforth, Lee is an individual health care provider with primary practice located at Navhosp Camp Pendleton , Camp Pendleton CA 92055-5191. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cornforth, Lee can be contacted via phone (760) 725-1307.Contact Information
Primary practice address
Navhosp Camp Pendleton
Camp Pendleton CA 92055-5191
Phone: (760) 725-1307
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1703 | Washington |
Profile Details
| NPI number | 1104827203 |
|---|---|
| LBN Legal business name | Cornforth, Lee |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1104827203 | NPPES |
| Washington | Other | 1703 | O.D. LICENSE NUMBER |
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