Lopez, Dori D

Lopez, Dori D is an individual health care provider with primary practice located at 14449 Roscoe Blvd , Panorama City CA 91402-3012. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Contact Lens Fitter, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Contact Lens Fitter is her primary health care specialty. Lopez, Dori D can be contacted via phone (818) 894-9582.

Contact Information

Primary practice address
14449 Roscoe Blvd Panorama City CA 91402-3012
Phone: (818) 894-9582
Fax: (818) 894-0391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Contact Lens Fitter 156FC0801X CL 664 California
Eye and Vision Services Providers / Optician 156FX1800X SL 2069 California

Profile Details

NPI number 1316008956
LBN Legal business name Lopez, Dori D
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 9th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316008956 NPPES
California MEDICAID DX002069F

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