Bender, Leslie Charles

Bender, Leslie Charles is an sole proprietor health care provider with primary practice located at 20932 Brookhurst St Ste 208, Huntington Beach CA 92646-6638. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bender, Leslie Charles can be contacted via phone (714) 962-3371.

Contact Information

Primary practice address
20932 Brookhurst St Ste 208 Huntington Beach CA 92646-6638
Phone: (714) 962-3371
Fax: (714) 962-3745
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5991 California

Profile Details

NPI number 1245223163
LBN Legal business name Bender, Leslie Charles
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2005
Last updated Mar 13th, 2008 - about 17 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 1245223163 NPPES
California MEDICAID SD0059910

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