Dea, Marc

Dea, Marc is an individual health care provider with primary practice located at 2687 Castro Valley Blvd , Castro Valley CA 94546-5409. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dea, Marc can be contacted via phone (510) 581-1553.

Contact Information

Primary practice address
2687 Castro Valley Blvd Castro Valley CA 94546-5409
Phone: (510) 581-1553
Fax: (510) 581-1929
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 11124T California

Profile Details

NPI number 1174592646
LBN Legal business name Dea, Marc
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Aug 20th, 2014 - about 10 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 1174592646 NPPES
California MEDICAID GSD000960
California MEDICAID GR0022890

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