Dr. Hollis L. Stavn
LBN: Dr Hollis L Stavn O.D. An Optometry Corporation
Dr. Hollis L. Stavn is an health care organization with primary practice located at 2305 Mendocino Ave Ste B, Santa Rosa CA 95403-3157. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Dr Hollis L Stavn O.D. An Optometry Corporation can be contacted via phone (707) 527-9137, or through Stavn, Hollis Loren via phone (707) 527-9137.
Contact Information
Primary practice address
2305 Mendocino Ave Ste B
Santa Rosa CA 95403-3157
Phone: (707) 527-9137
Fax: (707) 545-9278
Website:
Authorized official contact:
Name: Stavn, Hollis Loren Doctor of Optometry (OD)
Phone: (707) 527-9137
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6812 TLG | California |
Profile Details
| NPI number | 1255618500 |
|---|---|
| LBN Legal business name | Dr Hollis L Stavn O.D. An Optometry Corporation |
| DBA Doing business as | Dr. Hollis L. Stavn |
| Authorized official | Stavn, Hollis Loren Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 14th, 2011 |
| Last updated | Jun 20th, 2018 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255618500 | NPPES |
| California | MEDICAID | 1255618500 | |
| California | Other | 1255618500 |
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