Cornforth, Lee

Cornforth, Lee is an individual health care provider with primary practice located at Navhosp Camp Pendleton , Camp Pendleton CA 92055-5191. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cornforth, Lee can be contacted via phone (760) 725-1307.

Contact Information

Primary practice address
Navhosp Camp Pendleton Camp Pendleton CA 92055-5191
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1703 Washington

Profile Details

NPI number 1104827203
LBN Legal business name Cornforth, Lee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jul 8th, 2007 - about 17 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 1104827203 NPPES
Washington Other 1703 O.D. LICENSE NUMBER

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