Sackin, David Allen

Sackin, David Allen is an sole proprietor health care provider with primary practice located at 8414 Van Nuys Blvd , Panorama City CA 91402-3610. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sackin, David Allen can be contacted via phone (818) 894-6408.

Contact Information

Primary practice address
8414 Van Nuys Blvd Panorama City CA 91402-3610
Phone: (818) 894-6408
Fax: (818) 894-6400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT5000TPA California

Profile Details

NPI number 1891897195
LBN Legal business name Sackin, David Allen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2006
Last updated Nov 2nd, 2010 - about 15 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 1891897195 NPPES
California Other 1289930001 DMEPOS SUPPLIER NUMBER
California MEDICAID SD0050000 DMEPOS SUPPLIER NUMBER

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