Beach, Gregg J

Beach, Gregg J is an individual health care provider with primary practice located at 1104 Pear Tree Ln , Napa CA 94558-6446. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Beach, Gregg J can be contacted via phone (707) 252-5380.

Contact Information

Primary practice address
1104 Pear Tree Ln Napa CA 94558-6446
Phone: (707) 252-5380
Fax: (707) 252-5384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 6165 California

Profile Details

NPI number 1295705010
LBN Legal business name Beach, Gregg J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Sep 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295705010 NPPES
California Other 2560 MES
California Other 089485 MES
California MEDICAID SD0061650 MES
California Other ZZZ543922 MES

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