Prima, Judith
Prima, Judith is an individual health care provider with primary practice located at 3133 W March Ln Suite 2020, Stockton CA 95219-2336. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Prima, Judith can be contacted via phone (209) 951-0820.Contact Information
Primary practice address
3133 W March Ln Suite 2020
Stockton CA 95219-2336
Phone: (209) 951-0820
Fax: (209) 951-2348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5926T | California |
Profile Details
| NPI number | 1861456238 |
|---|---|
| LBN Legal business name | Prima, Judith |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Feb 13th, 2013 - about 11 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 | 1861456238 | NPPES |
| California | Other | 0694800001 | DMERC |
| California | MEDICAID | SD0059260 | DMERC |
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