Deckert, Brian Keith
Deckert, Brian Keith is an individual health care provider with primary practice located at 2420 Vela Way Suite 1866, El Segundo CA 90245-4659. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Deckert, Brian Keith can be contacted via phone (310) 363-0314.Contact Information
Primary practice address
2420 Vela Way Suite 1866
El Segundo CA 90245-4659
Phone: (310) 363-0314
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 318 | New Mexico |
Profile Details
| NPI number | 1881683035 |
|---|---|
| LBN Legal business name | Deckert, Brian Keith |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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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