Geller, Jonathan Mark
Geller, Jonathan Mark is an sole proprietor health care provider with primary practice located at 25460 Medical Center Dr 103, Murrieta CA 92562-5985. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Geller, Jonathan Mark can be contacted via phone (951) 698-4575.Contact Information
Primary practice address
25460 Medical Center Dr 103
Murrieta CA 92562-5985
Phone: (951) 698-4575
Fax: (951) 698-5499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7468T | California |
Profile Details
| NPI number | 1588741748 |
|---|---|
| LBN Legal business name | Geller, Jonathan Mark |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Nov 10th, 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 | 1588741748 | NPPES |
| California | Other | P00731161 | MEDICARE RAILROAD |
| California | MEDICAID | SD0074680 | MEDICARE RAILROAD |
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