Bozek, Mark Phillip
Bozek, Mark Phillip is an individual health care provider with primary practice located at 1280 S Victoria Ave Suite 100, Ventura CA 93003-6555. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bozek, Mark Phillip can be contacted via phone (805) 650-9922.Contact Information
Primary practice address
1280 S Victoria Ave Suite 100
Ventura CA 93003-6555
Phone: (805) 650-9922
Fax: (805) 650-6656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7106T | California |
Profile Details
| NPI number | 1649249319 |
|---|---|
| LBN Legal business name | Bozek, Mark Phillip |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Oct 1st, 2012 - about 12 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 | 1649249319 | NPPES |
| California | MEDICAID | SD0071060 |
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