Dudow, Irwin Robert
Dudow, Irwin Robert is an sole proprietor health care provider with primary practice located at 8101 Sunland Blvd , Sun Valley CA 91352-3949. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Dudow, Irwin Robert can be contacted via phone (818) 767-2050.Contact Information
Primary practice address
8101 Sunland Blvd
Sun Valley CA 91352-3949
Phone: (818) 767-2050
Fax: (818) 767-2056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OP4775TLG | California |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | OP4775TLG | California |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OP4775TLG | California |
Profile Details
| NPI number | 1942277678 |
|---|---|
| LBN Legal business name | Dudow, Irwin Robert |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Dec 17th, 2013 - about 13 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 | 1942277678 | NPPES |
| California | MEDICAID | SD0047750 |
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