Michaels, Suzann Lynn

Michaels, Suzann Lynn is an individual health care provider with primary practice located at 748 S Harbor Blvd , Santa Ana CA 92704-2337. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Michaels, Suzann Lynn can be contacted via phone (714) 839-7534.

Contact Information

Primary practice address
748 S Harbor Blvd Santa Ana CA 92704-2337
Phone: (714) 839-7534
Fax: (714) 839-9635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT10543TPA California

Profile Details

NPI number 1871654855
LBN Legal business name Michaels, Suzann Lynn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1871654855 NPPES
California MEDICAID SD0105430

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