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Contact Information

LES A SHIPLEY, OD
1430 GUERNEVILLE RD
STE 3
SANTA ROSA, CA95403
 Phone: 707-525-9920
 Fax: 707-525-0844
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for LES A SHIPLEY · (Male)

NPI Number 1225011653
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/21/2005
Last updated 05/18/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 5775T
  • CA Medicaid SD0057750
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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