Macdonald, Tina
Macdonald, Tina is an individual health care provider with primary practice located at 795 E 2Nd St Suite 2, Pomona CA 91766-2007. 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. Macdonald, Tina can be contacted via phone (909) 706-3899.Contact Information
Primary practice address
795 E 2Nd St Suite 2
Pomona CA 91766-2007
Phone: (909) 706-3899
Fax: (909) 469-8640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9911T | California |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | OPT9911 TPG | California |
Profile Details
| NPI number | 1265579478 |
|---|---|
| LBN Legal business name | Macdonald, Tina |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Feb 10th, 2017 - about 7 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 | 1265579478 | NPPES |
| California | Other | WOP9911A | MEDICARE PTAN CPS |
| California | Other | CB269766 | MEDICARE PTAN CPS |
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