Simonis, Felicia Ann

Simonis, Felicia Ann is an sole proprietor health care provider with primary practice located at 155 N 2Nd Ave , Upland CA 91786-6019. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Simonis, Felicia Ann can be contacted via phone (909) 985-1814.

Contact Information

Primary practice address
155 N 2Nd Ave Upland CA 91786-6019
Fax: (909) 985-1815
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 12004T California

Profile Details

NPI number 1912038845
LBN Legal business name Simonis, Felicia Ann
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Nov 26th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912038845 NPPES
California MEDICAID SD0120040

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