Bynum, Susan Loretta

Bynum, Susan Loretta is an individual health care provider with primary practice located at 97 San Marin Dr , Novato CA 94945-1100. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bynum, Susan Loretta can be contacted via phone (415) 899-7560.

Contact Information

Primary practice address
97 San Marin Dr Novato CA 94945-1100
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 9723 California

Profile Details

NPI number 1861539868
LBN Legal business name Bynum, Susan Loretta
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jan 3rd, 2022 - about 3 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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