Maeda, Raymond R

Maeda, Raymond R is an individual health care provider with primary practice located at 795 E. Second Street Suite 2, Pomona CA 91766-2020. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Maeda, Raymond R can be contacted via phone (909) 706-3899.

Contact Information

Primary practice address
795 E. Second Street Suite 2 Pomona CA 91766-2020
Fax: (909) 469-8640
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 10140TLG California

Profile Details

NPI number 1821074220
LBN Legal business name Maeda, Raymond R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Nov 1st, 2016 - about 8 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 1821074220 NPPES
California Other CO232Z MEDICARE PTAN SO CAL

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