Mebine, Loran Bruce
Mebine, Loran Bruce is an sole proprietor health care provider with primary practice located at 340 W Portal Ave , San Francisco CA 94127-1412. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mebine, Loran Bruce can be contacted via phone (415) 664-3089.Contact Information
Primary practice address
340 W Portal Ave
San Francisco CA 94127-1412
Phone: (415) 664-3089
Fax: (415) 564-3072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4991T | California |
Profile Details
| NPI number | 1932191483 |
|---|---|
| LBN Legal business name | Mebine, Loran Bruce |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Aug 2nd, 2023 - about last year |
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 | 1932191483 | NPPES |
| California | MEDICAID | GSD000160 |
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