Shumway, Peter Allen

Shumway, Peter Allen is an individual health care provider with primary practice located at 13923 Mono Way , Sonora CA 95370. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Shumway, Peter Allen can be contacted via phone (209) 533-2550.

Contact Information

Primary practice address
13923 Mono Way Sonora CA 95370
Phone: (209) 533-2550
Fax: (209) 533-2951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 7575T California

Profile Details

NPI number 1922147339
LBN Legal business name Shumway, Peter Allen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922147339 NPPES
California MEDICAID SD0075750

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