Walport, Amy J

Walport, Amy J is an sole proprietor health care provider with primary practice located at 12523 Limonite Ave Ste 460 , Mira Loma CA 91752-3668. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Walport, Amy J can be contacted via phone (951) 685-9645.

Contact Information

Primary practice address
12523 Limonite Ave Ste 460 Mira Loma CA 91752-3668
Phone: (951) 685-9645
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 14018TLG California

Profile Details

NPI number 1831408186
LBN Legal business name Walport, Amy J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2010
Last updated Oct 5th, 2010 - about 15 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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