Pedersen, Raymond F
Pedersen, Raymond F is an individual health care provider with primary practice located at 38069 Martha Ave Suite 200, Fremont CA 94536-3811. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pedersen, Raymond F can be contacted via phone (510) 791-5272.Contact Information
Primary practice address
38069 Martha Ave Suite 200
Fremont CA 94536-3811
Phone: (510) 791-5272
Fax: (510) 791-0660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8564T | California |
Profile Details
| NPI number | 1457343717 |
|---|---|
| LBN Legal business name | Pedersen, Raymond F |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Feb 10th, 2016 - about 8 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 | 1457343717 | NPPES |
| California | MEDICAID | SD0085640 |
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