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
Fax: (909) 469-8640
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265579478 NPPES
California Other WOP9911A MEDICARE PTAN CPS
California Other CB269766 MEDICARE PTAN CPS

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