Perkins, Brett Wendell

Perkins, Brett Wendell is an sole proprietor health care provider with primary practice located at 6716 Rio Linda Blvd Suite B, Rio Linda CA 95673-3347. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Perkins, Brett Wendell can be contacted via phone (916) 991-8444.

Contact Information

Primary practice address
6716 Rio Linda Blvd Suite B Rio Linda CA 95673-3347
Fax: (916) 991-8111
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X CA 7653T California
Eye and Vision Services Providers / Optometrist 152W00000X 111170-9933 Utah

Profile Details

NPI number 1487725032
LBN Legal business name Perkins, Brett Wendell
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Feb 29th, 2012 - about 14 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 1487725032 NPPES
California Other 7653T CALIFORNIA OPTOMETRY LICE
California MEDICAID SD0076530 CALIFORNIA OPTOMETRY LICE
California Other 111170-9933 CALIFORNIA OPTOMETRY LICE

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