Dudow, Irwin Robert

Dudow, Irwin Robert is an sole proprietor health care provider with primary practice located at 8101 Sunland Blvd , Sun Valley CA 91352-3949. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Dudow, Irwin Robert can be contacted via phone (818) 767-2050.

Contact Information

Primary practice address
8101 Sunland Blvd Sun Valley CA 91352-3949
Phone: (818) 767-2050
Fax: (818) 767-2056
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OP4775TLG California
Eye and Vision Services Providers / Vision Therapy 152WV0400X OP4775TLG California
Eye and Vision Services Providers / Optometrist 152W00000X OP4775TLG California

Profile Details

NPI number 1942277678
LBN Legal business name Dudow, Irwin Robert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2006
Last updated Dec 17th, 2013 - about 11 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 1942277678 NPPES
California MEDICAID SD0047750

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