Sivas, David Richard

Sivas, David Richard is an sole proprietor health care provider with primary practice located at 5781 E Kings Canyon Rd , Fresno CA 93727-4743. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sivas, David Richard can be contacted via phone (559) 251-8272.

Contact Information

Primary practice address
5781 E Kings Canyon Rd Fresno CA 93727-4743
Fax: (559) 251-4057
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 6352T California

Profile Details

NPI number 1134194657
LBN Legal business name Sivas, David Richard
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2006
Last updated Mar 26th, 2010 - about 14 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 1134194657 NPPES
California Other 3156 MESC
California Other 46462 MESC
California MEDICAID SD0063520 MESC
California Other 211241 MESC

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