Callister, Bradley

Callister, Bradley is an individual health care provider with primary practice located at 140 Avenida Del Mar , San Clemente CA 92672-4016. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Callister, Bradley can be contacted via phone (949) 492-1853.

Contact Information

Primary practice address
140 Avenida Del Mar San Clemente CA 92672-4016
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 33717TLG California

Profile Details

NPI number 1033639349
LBN Legal business name Callister, Bradley
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2017
Last updated Feb 11th, 2019 - about 5 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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