Staten, Don D
Staten, Don D is an individual health care provider with primary practice located at 1261 Baring Blvd , Sparks NV 89434-8673. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Staten, Don D can be contacted via phone (775) 353-5665.Contact Information
Primary practice address
1261 Baring Blvd
Sparks NV 89434-8673
Phone: (775) 353-5665
Fax: (775) 353-5660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | NV168 | Nevada |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1015 | Colorado |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT7580 | California |
Profile Details
| NPI number | 1053496448 |
|---|---|
| LBN Legal business name | Staten, Don D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Dec 7th, 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 | 1053496448 | NPPES |
| Other | 410003582 | RAILROAD MEDICARE |
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