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Contact Information

SHASTA VISION GROUP AN OPTOMETRIC CORPORATION
110 CHESTNUT ST
MOUNT SHASTA, CA96067
 Phone: 530-926-2033
 Fax: 530-926-3722
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SHASTA VISION GROUP AN OPTOMETRIC CORPORATION · (Female)

NPI # 1669697348
Status Active
Credentials
Entity Individual
Enumeration date 04/16/2007
Last updated 06/12/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 152W00000X
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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