Poole, Vernon N

Poole, Vernon N is an sole proprietor health care provider with primary practice located at 39872 Los Alamos Rd Ste A11 , Murrieta CA 92562-5745. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Poole, Vernon N can be contacted via phone (951) 698-4185.

Contact Information

Primary practice address
39872 Los Alamos Rd Ste A11 Murrieta CA 92562-5745
Fax: (951) 698-4189
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 9072T California

Profile Details

NPI number 1336251586
LBN Legal business name Poole, Vernon N
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Sep 27th, 2011 - about 15 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 1336251586 NPPES
California MEDICAID SD009072

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