Les Alan Shipley in Santa Rosa - Optometrist

Les Alan Shipley - NPI 1225011653

Les Alan Shipley is a Optometrist in Santa Rosa, California. Les Alan Shipley practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Les Alan Shipley is 1225011653. The last update date is 2015-05-18.

Les Alan Shipley's current location address is 1430 Guerneville Rd, Santa Rosa, California. You can contact this provider via phone number 7075259920 and fax number 7075250844. The mailing address for Les Alan Shipley is 1430 Guerneville Rd, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Les Alan Shipley
Address 1430 Guerneville Rd, Santa Rosa, California
Phone Number 7075259920
Fax Number 7075250844
Sole Proprietor Y
Credentials OD

NPI Number Detail

NPI Number 1225011653
Provider Enumeration Date 2005-11-21
Last Updated Date 2015-05-18

Provider Mailing Address Detail

Address 1430 Guerneville Rd
City Santa Rosa
State California (CA)
Post Code 95403
Phone Number 7075259920
Fax Number 7075250844

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 5775T
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
SD0057750 CA --

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FAQs about Les Alan Shipley

What is the Les Alan Shipley's 1225011653?

The Les Alan Shipley's NPI (National Provider Identifier) Number is 1225011653. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Les Alan Shipley is located?

The Les Alan Shipley is situated at the following address: 1430 Guerneville Rd, Santa Rosa, CA, 95403.

What is Les Alan Shipley's area of expertise and its corresponding taxonomy classification?

The Les Alan Shipley's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.

When did Les Alan Shipley receive its 1225011653 assignment?

The Les Alan Shipley was assigned its 1225011653 on 2005-11-21, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Les Alan Shipley most recently updated or revised?

The information pertaining to Les Alan Shipley, including its address, specialty, and other relevant details, was last updated or revised on 2015-05-18.

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