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
Fax: (909) 307-1863
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164484259 NPPES
California Other 11108 IEHP
California MEDICAID SD0050090 IEHP

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