Dill, Gerald L
Dill, Gerald L is an sole proprietor health care provider with primary practice located at 1360 E Herndon Ave Ste 401 , Fresno CA 93720-3326. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dill, Gerald L can be contacted via phone (559) 449-5010.Contact Information
Primary practice address
1360 E Herndon Ave Ste 401
Fresno CA 93720-3326
Phone: (559) 449-5010
Fax: (559) 449-5014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7790T | California |
Profile Details
| NPI number | 1578535027 |
|---|---|
| LBN Legal business name | Dill, Gerald L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2006 |
| Last updated | May 3rd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578535027 | NPPES |
| California | MEDICAID | SD0077900 | |
| California | MEDICAID | GSD004053 | |
| California | MEDICAID | GSD004051 | |
| California | MEDICAID | GSD004050 | |
| California | MEDICAID | GSD004052 | |
| California | MEDICAID | GSD004054 |
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