Iwami, Jeffrey Takashi

Iwami, Jeffrey Takashi is an individual health care provider with primary practice located at 1436 4Th St , San Rafael CA 94901-2812. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Iwami, Jeffrey Takashi can be contacted via phone (415) 454-0354.

Contact Information

Primary practice address
1436 4Th St San Rafael CA 94901-2812
Phone: (415) 454-0354
Fax: (415) 454-0497
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 11067 California

Profile Details

NPI number 1831249515
LBN Legal business name Iwami, Jeffrey Takashi
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Feb 2nd, 2010 - about 15 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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