Shaffer, William John
Shaffer, William John is an sole proprietor health care provider with primary practice located at 340 S 5Th St , Oxnard CA 93030-7043. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Shaffer, William John can be contacted via phone (805) 487-6363.Contact Information
Primary practice address
340 S 5Th St
Oxnard CA 93030-7043
Phone: (805) 487-6363
Fax: (805) 486-9698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5774T | California |
Profile Details
| NPI number | 1457451031 |
|---|---|
| LBN Legal business name | Shaffer, William John |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2006 |
| Last updated | May 14th, 2008 - about 17 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 | 1457451031 | NPPES |
| California | MEDICAID | SD0057742 |
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