Apple Valley Family Optometry Centre

LBN: Apple Valley Family Optometry Centre
Apple Valley Family Optometry Centre is an health care organization with primary practice located at 15972 Tuscola Rd Suite 101, Apple Valley CA 92307-2106. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Apple Valley Family Optometry Centre can be contacted via phone (760) 946-2700, or through Wallis, Steven Bruce via phone (760) 946-2700.

Contact Information

Primary practice address
15972 Tuscola Rd Suite 101 Apple Valley CA 92307-2106
Fax: (760) 946-3355
Website:
Authorized official contact:
Name: Wallis, Steven Bruce Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 7082T California

Profile Details

NPI number 1891826210
LBN Legal business name Apple Valley Family Optometry Centre
DBA Doing business as
Authorized official Wallis, Steven Bruce Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Aug 6th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891826210 NPPES
California MEDICAID SD0070820
California Other ZZZ05917Z
California Other ZZZ58328Z

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