Giles, Gregory Edward
Giles, Gregory Edward is an individual health care provider with primary practice located at 8007 La Mesa Blvd , La Mesa CA 91941-6434. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Giles, Gregory Edward can be contacted via phone (619) 466-5665.Contact Information
Primary practice address
8007 La Mesa Blvd
La Mesa CA 91941-6434
Phone: (619) 466-5665
Fax: (619) 466-5688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 11362T | California |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 11362T | California |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 11362T | California |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 11362T | California |
Profile Details
| NPI number | 1114931250 |
|---|---|
| LBN Legal business name | Giles, Gregory Edward |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Mar 22nd, 2024 - about 8 months 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 | 1114931250 | NPPES |
| California | MEDICAID | SD0113620 |
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