Israel, Alan Todd

Israel, Alan Todd is an individual health care provider with primary practice located at 755 N Peach Ave Ste E5 , Clovis CA 93611-7252. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Israel, Alan Todd can be contacted via phone (559) 283-9571.

Contact Information

Primary practice address
755 N Peach Ave Ste E5 Clovis CA 93611-7252
Phone: (559) 283-9571
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 11852 California
Eye and Vision Services Providers / Optometrist 152W00000X OPT11852TPA California

Profile Details

NPI number 1134122435
LBN Legal business name Israel, Alan Todd
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Dec 23rd, 2021 - about 5 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 1134122435 NPPES
California MEDICAID SD0118520

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