National Provider Identifier Database

DAVID VAN HARTESVELT, OPTICIAN – NPI #1265632152
Optician


Contact Information

DAVID VAN HARTESVELT, OPTICIAN
12902 FOOTHILL BLVD
SUITE H
SYLMAR, CA91342-4900
Phone: 818-837-3818
Fax: 818-837-3820
Website:
Specialty Taxonomy Code
* Optician 156FX1800X
Contact Lens Fitter 156FC0801X

* Indicates primary specialty

NPI Profile & details for DAVID VAN HARTESVELT

NPI Number 1265632152
Credentials OPTICIAN
Entity Individual
Enumeration date 07/19/2007
Last updated 07/19/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • CA License #: CL1190
  • CA License #: SL4082
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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