Cruz, Michelle

Cruz, Michelle is an individual health care provider with primary practice located at 32245 Mission Trl Ste D4 , Lake Elsinore CA 92530-4528. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Cruz, Michelle can be contacted via phone (951) 674-1561.

Contact Information

Primary practice address
32245 Mission Trl Ste D4 Lake Elsinore CA 92530-4528
Phone: (951) 674-1561
Fax: (951) 674-5300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 33482 California

Profile Details

NPI number 1679926646
LBN Legal business name Cruz, Michelle
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2016
Last updated Jun 11th, 2018 - about 8 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 1679926646 NPPES
California Other 1679926646 OPTOMETRY

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