Fallis, Claud B.
Fallis, Claud B. is an sole proprietor health care provider with primary practice located at 2650 Veterans Memorial Dr , Abbeville LA 70510-4007. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fallis, Claud B. can be contacted via phone (337) 898-0069.Contact Information
Primary practice address
2650 Veterans Memorial Dr
Abbeville LA 70510-4007
Phone: (337) 898-0069
Fax: (337) 898-0639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 969069T | Louisiana |
Profile Details
| NPI number | 1770610966 |
|---|---|
| LBN Legal business name | Fallis, Claud B. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Sep 29th, 2011 - about 14 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 | 1770610966 | NPPES |
| Louisiana | Other | P00960152 | MEDICARE RAILROAD RETIREMENT |
| Louisiana | MEDICAID | 1364789 | MEDICARE RAILROAD RETIREMENT |
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