Keltner, Lisa Valentine
Keltner, Lisa Valentine is an individual health care provider with primary practice located at 4515 Central Ave Ste 101 , Riverside CA 92506-2374. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Keltner, Lisa Valentine can be contacted via phone (951) 784-2420.Contact Information
Primary practice address
4515 Central Ave Ste 101
Riverside CA 92506-2374
Phone: (951) 784-2420
Fax: (951) 784-4713
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 721 | Arizona |
Eye and Vision Services Providers / Optometrist | 152W00000X | 113376-9934 | Utah |
Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 08887TLG | California |
Eye and Vision Services Providers / Optometrist | 152W00000X | 08887TLG | California |
Profile Details
NPI number | 1629072533 |
---|---|
LBN Legal business name | Keltner, Lisa Valentine |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 8th, 2005 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1629072533 | NPPES |
California | MEDICAID | SD0088870 |
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