National Provider Identifier Database

BRIAN E VANDUSEN, OD – NPI #1437338407
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

BRIAN E VANDUSEN, OD
3559 W RAMSEY ST
STE D-6
BANNING, CA92220
Phone: 951-849-2020
Fax: 951-849-4869
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for BRIAN E VANDUSEN

NPI Number 1437338407
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/26/2007
Last updated 05/15/2018 - About 8 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 007596T
  • CA Medicaid: SD0075960
  • CA Medicaid: SD0075961
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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