National Provider Identifier Database

SHASTA VISION GROUP AN OPTOMETRIC CORPORATION
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

SHASTA VISION GROUP AN OPTOMETRIC CORPORATION
110 CHESTNUT ST
MOUNT SHASTA, CA96067
Phone: 530-926-2033
Fax: 530-926-3722
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for SHASTA VISION GROUP AN OPTOMETRIC CORPORATION

NPI Number 1669697348
Legal business name
LBN
SHASTA VISION GROUP AN OPTOMETRIC CORPORATION
Authorized official ANNELLE MAYGREN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/16/2007
Last updated 06/12/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 152W00000X

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.

Reviews for SHASTA VISION GROUP AN OPTOMETRIC CORPORATION

There are currently no reviews for SHASTA VISION GROUP AN OPTOMETRIC CORPORATION


NPIdb - Home
v2.201