Ner, Gracie
Ner, Gracie is an individual health care provider with primary practice located at 2941 Cochran St Ste 5 , Simi Valley CA 93065-2789. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ner, Gracie can be contacted via phone (805) 583-3028.Contact Information
Primary practice address
2941 Cochran St Ste 5
Simi Valley CA 93065-2789
Phone: (805) 583-3028
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10773T | California |
Profile Details
| NPI number | 1073663068 |
|---|---|
| LBN Legal business name | Ner, Gracie |
| Credentials | OPTOMETRIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1073663068 | NPPES |
| California | MEDICAID | SD0107730 |
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