Verdon, Lisa Clark

Verdon, Lisa Clark is an individual health care provider with primary practice located at 1313 Solano Ave , Albany CA 94706-1825. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Verdon, Lisa Clark can be contacted via phone (510) 526-0194.

Contact Information

Primary practice address
1313 Solano Ave Albany CA 94706-1825
Phone: (510) 526-0194
Fax: (510) 524-2471
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 09725T California

Profile Details

NPI number 1689779415
LBN Legal business name Verdon, Lisa Clark
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689779415 NPPES
California MEDICAID SD0097250

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