Dorrance, William Kent

Dorrance, William Kent is an individual health care provider with primary practice located at 24250 Postal Ave , Moreno Valley CA 92553-7722. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dorrance, William Kent can be contacted via phone (951) 242-2020.

Contact Information

Primary practice address
24250 Postal Ave Moreno Valley CA 92553-7722
Phone: (951) 242-2020
Fax: (951) 488-0910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5016T California

Profile Details

NPI number 1154317733
LBN Legal business name Dorrance, William Kent
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Mar 7th, 2023 - about last year

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 1154317733 NPPES
Other 0357620001 SUPPLIER #
MEDICAID SD0050161 SUPPLIER #

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