National Provider Identifier Database

DWIGHT GREGORY, OPTICIAN – NPI #1407144330
Optician


Contact Information

DWIGHT GREGORY, OPTICIAN
11940 FOOTHILL BLVD STE 107
RANCHO CUCAMONGA, CA91739-9375
Phone: 909-944-1451
Fax: 909-944-5174
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for DWIGHT GREGORY

NPI Number 1407144330
Credentials OPTICIAN
Entity Individual
Enumeration date 07/12/2011
Last updated 08/19/2011 - About 15 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 6462
  • CA License #: 7602
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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