Bates, Nelson Richard
Bates, Nelson Richard is an individual health care provider with primary practice located at 2625 W Alameda Ave 208, Burbank CA 91505-4806. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bates, Nelson Richard can be contacted via phone (818) 845-3557.Contact Information
Primary practice address
2625 W Alameda Ave 208
Burbank CA 91505-4806
Phone: (818) 845-3557
Fax: (818) 845-2600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT5501 | California |
Profile Details
| NPI number | 1720071822 |
|---|---|
| LBN Legal business name | Bates, Nelson Richard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Sep 21st, 2012 - about 12 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 | 1720071822 | NPPES |
| California | MEDICAID | SD0055010 |
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