Myers, Douglas Richard

Myers, Douglas Richard is an individual health care provider with primary practice located at 119 Yellowstone Dr , Chico CA 95973-5811. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Myers, Douglas Richard can be contacted via phone (530) 891-1146.

Contact Information

Primary practice address
119 Yellowstone Dr Chico CA 95973-5811
Fax: (530) 891-0123
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5438 T California

Profile Details

NPI number 1750320800
LBN Legal business name Myers, Douglas Richard
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 9th, 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 1750320800 NPPES
California MEDICAID GSD000690

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