Vanover, Richard

Vanover, Richard is an sole proprietor health care provider with primary practice located at 3133 W March Ln Suite 2020, Stockton CA 95219-2336. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Vanover, Richard can be contacted via phone (209) 951-0820.

Contact Information

Primary practice address
3133 W March Ln Suite 2020 Stockton CA 95219-2336
Fax: (209) 951-2348
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 9667T California

Profile Details

NPI number 1528022035
LBN Legal business name Vanover, Richard
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2006
Last updated Mar 19th, 2015 - about 9 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 1528022035 NPPES
California MEDICAID SD0096670
California Other 0694800001

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