Meyerson, Ivor

Meyerson, Ivor is an sole proprietor health care provider with primary practice located at 1815 Hawthorne Blvd Suite 360, Redondo Beach CA 90278. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Meyerson, Ivor can be contacted via phone (310) 542-2251.

Contact Information

Primary practice address
1815 Hawthorne Blvd Suite 360 Redondo Beach CA 90278
Phone: (310) 542-2251
Fax: (310) 542-2362
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 7011TPL California

Profile Details

NPI number 1831113034
LBN Legal business name Meyerson, Ivor
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Jun 9th, 2009 - about 15 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 1831113034 NPPES
California MEDICAID SD0070110

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