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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588615736 | NPPES |
| California | Other | DP904Z | INDIVIDUAL MEDICARE PTAN |
| California | Other | CA408836 | INDIVIDUAL MEDICARE PTAN |
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