Simmons, Deric Crane
Simmons, Deric Crane is an individual health care provider with primary practice located at 8907 Warner Ave Suite 125, Huntington Beach CA 92647-5075. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Simmons, Deric Crane can be contacted via phone (714) 962-6400.Contact Information
Primary practice address
8907 Warner Ave Suite 125
Huntington Beach CA 92647-5075
Phone: (714) 962-6400
Fax: (714) 596-5972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9360T | California |
Profile Details
| NPI number | 1801886841 |
|---|---|
| LBN Legal business name | Simmons, Deric Crane |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801886841 | NPPES |
| California | MEDICAID | SD0093600 |
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