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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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