Scruggs, Thomas R.
Scruggs, Thomas R. is an sole proprietor health care provider with primary practice located at 40680 California Oaks Rd Suite 1A, Murrieta CA 92562-5755. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Scruggs, Thomas R. can be contacted via phone (951) 600-1114.Contact Information
Primary practice address
40680 California Oaks Rd Suite 1A
Murrieta CA 92562-5755
Phone: (951) 600-1114
Fax: (951) 600-1242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | SD0063440T | California |
Profile Details
| NPI number | 1891717880 |
|---|---|
| LBN Legal business name | Scruggs, Thomas R. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891717880 | NPPES |
| California | MEDICAID | SD0063440 |
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