National Provider Identifier Database

DOUGLAS EBBINK, OPTICIAN – NPI #1750582326
Optician


Contact Information

DOUGLAS EBBINK, OPTICIAN
1808 VERDUGO BLVD
#120 VERDUGO OPTICAL
GLENDALE, CA91208-1477
Phone: 818-952-1124
Fax: 818-952-3809
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for DOUGLAS EBBINK

NPI Number 1750582326
Credentials OPTICIAN
Entity Individual
Enumeration date 05/30/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • CA License #: D3290
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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