Newman, David Mark
Newman, David Mark is an sole proprietor health care provider with primary practice located at 5642 Lake Murray Blvd , La Mesa CA 91942-1929. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Newman, David Mark can be contacted via phone (619) 589-6263.Contact Information
Primary practice address
5642 Lake Murray Blvd
La Mesa CA 91942-1929
Phone: (619) 589-6263
Fax: (619) 501-2157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7296T | California |
Profile Details
| NPI number | 1508856378 |
|---|---|
| LBN Legal business name | Newman, David Mark |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Apr 9th, 2008 - about 16 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 | 1508856378 | NPPES |
| California | MEDICAID | SD0072960 |
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