Calkins, Gene D

Calkins, Gene D is an individual health care provider with primary practice located at 571 W 7Th St , San Pedro CA 90731-3115. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Calkins, Gene D can be contacted via phone (310) 831-1201.

Contact Information

Primary practice address
571 W 7Th St San Pedro CA 90731-3115
Fax: (310) 833-0698
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X CA4919T California

Profile Details

NPI number 1568425569
LBN Legal business name Calkins, Gene D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Mar 20th, 2008 - about 16 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 1568425569 NPPES
California MEDICAID SD0049190

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