Barr, Dale Irvin
Barr, Dale Irvin is an sole proprietor health care provider with primary practice located at 2730 Union Ave Ste A, San Jose CA 95124-1431. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Barr, Dale Irvin can be contacted via phone (408) 371-2282.Contact Information
Primary practice address
2730 Union Ave Ste A
San Jose CA 95124-1431
Phone: (408) 371-2282
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT9931TPL | California |
Profile Details
| NPI number | 1396749123 |
|---|---|
| LBN Legal business name | Barr, Dale Irvin |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Oct 30th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396749123 | NPPES |
| California | Other | 0681170001 | MEDICARE CIGNA DMERC |
| California | MEDICAID | SD0099310 | MEDICARE CIGNA DMERC |
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