Wallace, Austin
Wallace, Austin is an individual health care provider with primary practice located at 2138 N Tustin St , Orange CA 92865-3712. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Wallace, Austin can be contacted via phone (714) 450-4487.Contact Information
Primary practice address
2138 N Tustin St
Orange CA 92865-3712
Phone: (714) 450-4487
Fax: (714) 637-0020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 5200 | California |
Profile Details
| NPI number | 1831754209 |
|---|---|
| LBN Legal business name | Wallace, Austin |
| Credentials | RSLD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2019 |
| Last updated | May 1st, 2019 - about 5 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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