Pedersen, Barton Milo

Pedersen, Barton Milo is an individual health care provider with primary practice located at 56970 Yucca Trl , Yucca Valley CA 92284-3753. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Pedersen, Barton Milo can be contacted via phone (760) 228-2020.

Contact Information

Primary practice address
56970 Yucca Trl Yucca Valley CA 92284-3753
Phone: (760) 228-2020
Fax: (760) 369-2020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OPT4600T California

Profile Details

NPI number 1336123686
LBN Legal business name Pedersen, Barton Milo
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Mar 2nd, 2010 - about 14 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 1336123686 NPPES
California MEDICAID SD0046000
California Other 1124224589
California Other 410004661
California Other 0313520001
California Other GSD004460
California Other ZZZ24908Z

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