Holland, Paul Reginald
Holland, Paul Reginald is an individual health care provider with primary practice located at 2171 Junipero Serra Blvd Ste 100 , Daly City CA 94014-1987. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Holland, Paul Reginald can be contacted via phone (650) 994-3390.Contact Information
Primary practice address
2171 Junipero Serra Blvd Ste 100
Daly City CA 94014-1987
Phone: (650) 994-3390
Fax: (650) 994-0161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4804T | California |
Profile Details
| NPI number | 1205809647 |
|---|---|
| LBN Legal business name | Holland, Paul Reginald |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Oct 7th, 2016 - about 9 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 | 1205809647 | NPPES |
| Other | 1316650001 | DME SUPPLIER | |
| MEDICAID | 4473614 | DME SUPPLIER |
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