National Provider Identifier Database

MARY M WELLS, OD – NPI #1093851610
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

MARY M WELLS, OD
23591 EL TORO ROAD
STE 145
LAKE FOREST, CA92630
Phone: 949-859-3180
Fax: 949-859-6317
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for MARY M WELLS

NPI Number 1093851610
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/30/2007
Last updated 03/13/2009 - About 17 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 0P9120T
  • CA Medicaid: 8566227
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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