Grasso, Gina M
Grasso, Gina M is an individual health care provider with primary practice located at 1955 Citracado Pkwy Ste 301, Escondido CA 92029-4113. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Grasso, Gina M can be contacted via phone (760) 746-3937.Contact Information
Primary practice address
1955 Citracado Pkwy Ste 301
Escondido CA 92029-4113
Phone: (760) 746-3937
Fax: (760) 746-3991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT11139T | California |
Profile Details
| NPI number | 1700899952 |
|---|---|
| LBN Legal business name | Grasso, Gina M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Nov 21st, 2022 - about 2 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 | 1700899952 | NPPES |
| California | MEDICAID | WOP11139A |
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