Hisle, Willa Ann

Hisle, Willa Ann is an sole proprietor health care provider with primary practice located at 17571 Vierra Canyon Rd , Salinas CA 93907-3311. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Hisle, Willa Ann can be contacted via phone (831) 663-3276.

Contact Information

Primary practice address
17571 Vierra Canyon Rd Salinas CA 93907-3311
Fax: (831) 663-3277
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 9982 California

Profile Details

NPI number 1578543377
LBN Legal business name Hisle, Willa Ann
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2006
Last updated Jun 10th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578543377 NPPES
California MEDICAID SD0099820

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