Hong, Carole Lisa

Hong, Carole Lisa is an sole proprietor health care provider with primary practice located at 1234 Cherry St , San Carlos CA 94070-3110. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Hong, Carole Lisa can be contacted via phone (650) 593-1661.

Contact Information

Primary practice address
1234 Cherry St San Carlos CA 94070-3110
Phone: (650) 593-1661
Fax: (650) 595-5203
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 9662T California

Profile Details

NPI number 1982685509
LBN Legal business name Hong, Carole Lisa
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2005
Last updated Jan 29th, 2013 - about 13 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 1982685509 NPPES
California Other 1238570001 MEDICARE SUPPLY
California MEDICAID YYY48725Y MEDICARE SUPPLY

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