Dykes, H Robert

Dykes, H Robert is an individual health care provider with primary practice located at 854 Emerald Bay Rd Ste C, South Lake Tahoe CA 96150-6438. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dykes, H Robert can be contacted via phone (530) 544-2020.

Contact Information

Primary practice address
854 Emerald Bay Rd Ste C South Lake Tahoe CA 96150-6438
Phone: (530) 544-2020
Fax: (530) 544-1838
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5141T California

Profile Details

NPI number 1457348617
LBN Legal business name Dykes, H Robert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457348617 NPPES
California MEDICAID SD0051410

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