Hider, Steven Sage

Hider, Steven Sage is an individual health care provider with primary practice located at 7605 Morro Rd , Atascadero CA 93422-4433. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hider, Steven Sage can be contacted via phone (805) 466-3777.

Contact Information

Primary practice address
7605 Morro Rd Atascadero CA 93422-4433
Fax: (805) 466-3700
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 10330 California

Profile Details

NPI number 1497739106
LBN Legal business name Hider, Steven Sage
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Dec 8th, 2014 - about 12 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 1497739106 NPPES
California Other 10330 STATE OPTOMETRIC LICENSE
California Other CD1699 STATE OPTOMETRIC LICENSE
California MEDICAID SD0103300 STATE OPTOMETRIC LICENSE

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