Epstein, Gordon Lewis

Epstein, Gordon Lewis is an individual health care provider with primary practice located at 1598 Washington Ave , San Leandro CA 94577-4465. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Epstein, Gordon Lewis can be contacted via phone (510) 895-2116.

Contact Information

Primary practice address
1598 Washington Ave San Leandro CA 94577-4465
Phone: (510) 895-2116
Fax: (510) 895-2316
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 06209T California

Profile Details

NPI number 1861562761
LBN Legal business name Epstein, Gordon Lewis
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Dec 23rd, 2008 - about 16 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 1861562761 NPPES
California MEDICAID SD0062090

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