Simpfenderfer, Larry James
Simpfenderfer, Larry James is an sole proprietor health care provider with primary practice located at 1210 W Tokay St , Lodi CA 95240-3810. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Simpfenderfer, Larry James can be contacted via phone (209) 334-2626.Contact Information
Primary practice address
1210 W Tokay St
Lodi CA 95240-3810
Phone: (209) 334-2626
Fax: (209) 334-0710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT7804TPL | California |
Profile Details
| NPI number | 1902947179 |
|---|---|
| LBN Legal business name | Simpfenderfer, Larry James |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Apr 16th, 2008 - about 16 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 | 1902947179 | NPPES |
| California | MEDICAID | SD0078040 |
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