Reis, Gayle Ann
Reis, Gayle Ann is an individual health care provider with primary practice located at 2050 W Redlands Blvd , Redlands CA 92373-6228. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Reis, Gayle Ann can be contacted via phone (909) 792-3457.Contact Information
Primary practice address
2050 W Redlands Blvd
Redlands CA 92373-6228
Phone: (909) 792-3457
Fax: (909) 307-1863
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 5009TPL | California |
Profile Details
NPI number | 1164484259 |
---|---|
LBN Legal business name | Reis, Gayle Ann |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 4th, 2006 |
Last updated | Dec 14th, 2018 - about 7 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 | 1164484259 | NPPES |
California | Other | 11108 | IEHP |
California | MEDICAID | SD0050090 | IEHP |
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