Barnes, Alisa Renai
Barnes, Alisa Renai is an individual health care provider with primary practice located at 623 W 6Th St , Los Angeles CA 90017-3201. She recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as her primary health care specialty. Barnes, Alisa Renai can be contacted via phone (213) 629-4691.Contact Information
Primary practice address
623 W 6Th St
Los Angeles CA 90017-3201
Phone: (213) 629-4691
Fax: (213) 629-0758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 9434T | California |
Profile Details
| NPI number | 1275503476 |
|---|---|
| LBN Legal business name | Barnes, Alisa Renai |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1275503476 | NPPES |
| California | MEDICAID | SD0094341 |
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