Levingston, Lisa
Levingston, Lisa is an individual health care provider with primary practice located at 850 E Chapman Ave Suite B, Orange CA 92866-1649. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Levingston, Lisa can be contacted via phone (714) 538-1434.Contact Information
Primary practice address
850 E Chapman Ave Suite B
Orange CA 92866-1649
Phone: (714) 538-1434
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT10010 | California |
Profile Details
| NPI number | 1023166972 |
|---|---|
| LBN Legal business name | Levingston, Lisa |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Feb 3rd, 2015 - about 11 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 | 1023166972 | NPPES |
| California | Other | CB214843 | MEDICARE PTAN |
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