Boeck, Carl Allen
Boeck, Carl Allen is an individual health care provider with primary practice located at 9621 Mission Gorge Rd 106, Santee CA 92071-3802. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Boeck, Carl Allen can be contacted via phone (619) 449-2000.Contact Information
Primary practice address
9621 Mission Gorge Rd 106
Santee CA 92071-3802
Phone: (619) 449-2000
Fax: (619) 449-8303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT6620T | California |
Profile Details
| NPI number | 1588656151 |
|---|---|
| LBN Legal business name | Boeck, Carl Allen |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Aug 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588656151 | NPPES |
| California | MEDICAID | SD0066200 |
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