Green, Carlos Ernesto
Green, Carlos Ernesto is an sole proprietor health care provider with primary practice located at 2117 E Lincoln Ave , Anaheim CA 92806-4105. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Green, Carlos Ernesto can be contacted via phone (714) 776-8770.Contact Information
Primary practice address
2117 E Lincoln Ave
Anaheim CA 92806-4105
Phone: (714) 776-8770
Fax: (714) 776-7710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT 8238 TPA | California |
Profile Details
| NPI number | 1750332698 |
|---|---|
| LBN Legal business name | Green, Carlos Ernesto |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1750332698 | NPPES |
| California | MEDICAID | SD0082380 |
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