Gaylord, Eric E
Gaylord, Eric E is an individual health care provider with primary practice located at 3750 Santa Rosalia Dr Ste 102 , Los Angeles CA 90008-3685. 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. Gaylord, Eric E can be contacted via phone (323) 294-7517.Contact Information
Primary practice address
3750 Santa Rosalia Dr Ste 102
Los Angeles CA 90008-3685
Phone: (323) 294-7517
Fax: (323) 294-9219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT8724T | California |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 8724 | California |
Profile Details
| NPI number | 1255317780 |
|---|---|
| LBN Legal business name | Gaylord, Eric E |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Nov 13th, 2018 - about 6 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 | 1255317780 | NPPES |
| California | MEDICAID | SD0087240 |
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