Eyvazzadeh, Benica
Eyvazzadeh, Benica is an individual health care provider with primary practice located at 351 Rolling Oaks Dr 102, Thousand Oaks CA 91361-1275. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Eyvazzadeh, Benica can be contacted via phone (805) 497-3744.Contact Information
Primary practice address
351 Rolling Oaks Dr 102
Thousand Oaks CA 91361-1275
Phone: (805) 497-3744
Fax: (805) 497-1663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT10222 | California |
Profile Details
| NPI number | 1225070600 |
|---|---|
| LBN Legal business name | Eyvazzadeh, Benica |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jul 8th, 2010 - about 16 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 | 1225070600 | NPPES |
| California | Other | WOP10222G | DMERC |
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