Mitsuuchi, Brent Kenji
Mitsuuchi, Brent Kenji is an individual health care provider with primary practice located at 1280 S Victoria Ave Ste 100 , Ventura CA 93003-6550. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mitsuuchi, Brent Kenji can be contacted via phone (805) 650-9922.Contact Information
Primary practice address
1280 S Victoria Ave Ste 100
Ventura CA 93003-6550
Phone: (805) 650-9922
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10380T | California |
Profile Details
| NPI number | 1649300310 |
|---|---|
| LBN Legal business name | Mitsuuchi, Brent Kenji |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Oct 1st, 2012 - about 12 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 | 1649300310 | NPPES |
| California | Other | 2371 | MEDICAL EYE SERVICES INS# |
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