Ichiuji, Judy Lynn
Ichiuji, Judy Lynn is an individual health care provider with primary practice located at 153 N San Fernando Blvd , Burbank CA 91502-1208. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ichiuji, Judy Lynn can be contacted via phone (818) 848-6659.Contact Information
Primary practice address
153 N San Fernando Blvd
Burbank CA 91502-1208
Phone: (818) 848-6659
Fax: (818) 848-7911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10040 | California |
Profile Details
| NPI number | 1962461541 |
|---|---|
| LBN Legal business name | Ichiuji, Judy Lynn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Sep 29th, 2015 - 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 | 1962461541 | NPPES |
| California | MEDICAID | SD0100400 |
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