Waldmire, Mark William
Waldmire, Mark William is an sole proprietor health care provider with primary practice located at 4633 Whitney Ave Suite A, Sacramento CA 95821-4100. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Waldmire, Mark William can be contacted via phone (916) 487-1717.Contact Information
Primary practice address
4633 Whitney Ave Suite A
Sacramento CA 95821-4100
Phone: (916) 487-1717
Fax: (916) 487-3081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10098T | California |
Profile Details
| NPI number | 1154313963 |
|---|---|
| LBN Legal business name | Waldmire, Mark William |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Feb 23rd, 2015 - about 11 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 | 1154313963 | NPPES |
| California | MEDICAID | SD0100980 |
Popular Providers
-
Fleischmann, Thomas Joseph
3704 Marconi Ave Suite 2, Sacramento CA 95821-5304 -
Dong-Leong, Davida J
2550 W El Camino Ave Suite 11, Sacramento CA 95833-3900 -
Kaz, Maurice
8120 Timberlake Way Ste 211, Sacramento CA 95823-5414 -
Johnson, Michael Wayne
5777 Greenback Ln Ste. 100, Sacramento CA 95841-2013 -
Lewis, Michael R
9574 Micron Ave Suite E, Sacramento CA 95827-2622 -
Vogel, Christina
8120 Timberlake Way Ste 211, Sacramento CA 95823-5414 -
Takeda, Norman Lee
1325 Florin Rd , Sacramento CA 95831-3618 -
Klink, Jeffrey W
1689 Arden Way #1344, Sacramento CA 95815-4030