Fleming, Jeffrey Scott
Fleming, Jeffrey Scott is an sole proprietor health care provider with primary practice located at 4854 W 190Th St , Torrance CA 90503-1002. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Fleming, Jeffrey Scott can be contacted via phone (310) 371-1712.Contact Information
Primary practice address
4854 W 190Th St
Torrance CA 90503-1002
Phone: (310) 371-1712
Fax: (310) 371-4674
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10049T | California |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 10049T | California |
Profile Details
| NPI number | 1679542989 |
|---|---|
| LBN Legal business name | Fleming, Jeffrey Scott |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Oct 30th, 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 | 1679542989 | NPPES |
| California | Other | 1153670001 | CIGNA D-MERC # |
| California | MEDICAID | 4746525 | CIGNA D-MERC # |
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