Powell, Reed Madsen

Powell, Reed Madsen is an sole proprietor health care provider with primary practice located at 21660 Bear Valley Rd F-2, Apple Valley CA 92308-7226. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Powell, Reed Madsen can be contacted via phone (760) 961-0344.

Contact Information

Primary practice address
21660 Bear Valley Rd F-2 Apple Valley CA 92308-7226
Fax: (760) 961-0363
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 7678T California

Profile Details

NPI number 1639245988
LBN Legal business name Powell, Reed Madsen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Jul 9th, 2007 - about 19 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 1639245988 NPPES
California MEDICAID SD0076780

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