Martin, Mitchell L.

Martin, Mitchell L. is an individual health care provider with primary practice located at 3080 Victor Ave , Redding CA 96002-1449. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Martin, Mitchell L. can be contacted via phone (530) 222-3166.

Contact Information

Primary practice address
3080 Victor Ave Redding CA 96002-1449
Phone: (530) 222-3166
Fax: (530) 222-6539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 13870T California

Profile Details

NPI number 1588615736
LBN Legal business name Martin, Mitchell L.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Oct 15th, 2020 - about 4 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 1588615736 NPPES
California Other DP904Z INDIVIDUAL MEDICARE PTAN
California Other CA408836 INDIVIDUAL MEDICARE PTAN

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