Weintraub, Mark
Weintraub, Mark is an sole proprietor health care provider with primary practice located at 1355 4Th St , Santa Monica CA 90401-1301. He recently has 2 registered licenses in different health care specialties including Suppliers / Eyewear Supplier (Equipment, not the service), Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Weintraub, Mark can be contacted via phone (310) 394-1011.Contact Information
Primary practice address
1355 4Th St
Santa Monica CA 90401-1301
Phone: (310) 394-1011
Fax: (310) 451-0153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | 70857T | California |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 70857T | California |
Profile Details
| NPI number | 1386631034 |
|---|---|
| LBN Legal business name | Weintraub, Mark |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Jul 19th, 2011 - about 15 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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