Koprivica, Jasmina
Koprivica, Jasmina is an sole proprietor health care provider with primary practice located at 120 N Indian Hill Blvd , Claremont CA 91711-4607. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Koprivica, Jasmina can be contacted via phone (909) 621-3952.Contact Information
Primary practice address
120 N Indian Hill Blvd
Claremont CA 91711-4607
Phone: (909) 621-3952
Fax: (909) 626-5260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10353T | California |
Profile Details
| NPI number | 1346211158 |
|---|---|
| LBN Legal business name | Koprivica, Jasmina |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Jan 15th, 2008 - about 17 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 | 1346211158 | NPPES |
| California | MEDICAID | SD0103530 |
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