Broady, Cynthia
Broady, Cynthia is an sole proprietor health care provider with primary practice located at 17300 17Th St Ste M , Tustin CA 92780-1955. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Broady, Cynthia can be contacted via phone (714) 838-9664.Contact Information
Primary practice address
17300 17Th St Ste M
Tustin CA 92780-1955
Phone: (714) 838-9664
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8199T | California |
Profile Details
| NPI number | 1154452118 |
|---|---|
| LBN Legal business name | Broady, Cynthia |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Aug 15th, 2013 - about 11 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 | 1154452118 | NPPES |
| California | Other | 1154452118 | NPI |
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