Mcknight, Diana Lynn

Mcknight, Diana Lynn is an sole proprietor health care provider with primary practice located at 8419 Elk Grove-Florin Rd , Elk Grove CA 95624-9518. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mcknight, Diana Lynn can be contacted via phone (916) 681-1101.

Contact Information

Primary practice address
8419 Elk Grove-Florin Rd Elk Grove CA 95624-9518
Fax: (916) 682-8891
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1107T California
Eye and Vision Services Providers / Optometrist 152W00000X 11307TPG California

Profile Details

NPI number 1457310500
LBN Legal business name Mcknight, Diana Lynn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2006
Last updated May 14th, 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 1457310500 NPPES
California MEDICAID SD0113070
California Other 200664396

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