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Contact Information

CARLA A URSETTA, OD
27270 ALICIA PKWY
SUITE
LAGUNA NIGUEL, CA92677
 Phone: 630-841-6549
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CARLA A URSETTA · (Female)

NPI # 1114175171
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/03/2008
Last updated 09/05/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 33344
  • IL License # 046010096
  • Other 7235044 AETNA
  • Other 8825444 MULTIPLAN
  • IL Other 1636706 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
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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