Belmonte, Susana M.

Belmonte, Susana M. is an individual health care provider with primary practice located at 2101 Stone Blvd Ste 150 , West Sacramento CA 95691-4054. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Belmonte, Susana M. can be contacted via phone (916) 372-3090.

Contact Information

Primary practice address
2101 Stone Blvd Ste 150 West Sacramento CA 95691-4054
Fax: (916) 372-8055
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 11561T California

Profile Details

NPI number 1821136102
LBN Legal business name Belmonte, Susana M.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Oct 22nd, 2014 - about 10 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 1821136102 NPPES
California MEDICAID GSD001530

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