Iriarte, Jeannette
Iriarte, Jeannette is an individual health care provider with primary practice located at 13521 Sherman Way Suite I, Van Nuys CA 91405-2894. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Iriarte, Jeannette can be contacted via phone (818) 988-4450.Contact Information
Primary practice address
13521 Sherman Way Suite I
Van Nuys CA 91405-2894
Phone: (818) 988-4450
Fax: (818) 988-4485
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8747T | California |
Profile Details
| NPI number | 1720069644 |
|---|---|
| LBN Legal business name | Iriarte, Jeannette |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1720069644 | NPPES |
| California | MEDICAID | SD0087471 |
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