Robert Lytton Hetland in San Carlos - Ophthalmology
Robert Lytton Hetland - NPI 1174558985
Robert Lytton Hetland is a Ophthalmology in San Carlos, California. Robert Lytton Hetland practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Robert Lytton Hetland is 1174558985. The last update date is 2016-06-22.
Robert Lytton Hetland's current location address is 1395 San Carlos Ave, San Carlos, California. You can contact this provider via phone number 6508029921 and fax number 6508029923. The mailing address for Robert Lytton Hetland is 1395 San Carlos Ave, San Carlos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Lytton Hetland |
|---|---|
| Address | 1395 San Carlos Ave, San Carlos, California |
| Phone Number | 6508029921 |
| Fax Number | 6508029923 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174558985 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2016-06-22 |
Provider Mailing Address Detail
| Address | 1395 San Carlos Ave |
|---|---|
| City | San Carlos |
| State | California (CA) |
| Post Code | 940702388 |
| Phone Number | 6508029921 |
| Fax Number | 6508029923 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | A22540 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11002645 | CA | CAQH PROVIDER ID | |
| 4056691 | CA | AETNA ID | |
| 00A225400 | CA | -- | |
| P00205050 | CA | RAILROAD MEDICARE |
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What is the unique 10-digit identification code assigned to Robert Lytton Hetland by the Centers for Medicare & Medicaid Services?
The Robert Lytton Hetland has been issued the NPI (National Provider Identifier) 1174558985, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Robert Lytton Hetland located?
The Robert Lytton Hetland is located at 1395 San Carlos Ave, San Carlos, CA 940702388.
What is Robert Lytton Hetland's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Robert Lytton Hetland's specialized field of practice is Ophthalmology, and the corresponding taxonomy code that categorizes this area of specialization is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174558985 to Robert Lytton Hetland?
The Centers for Medicare & Medicaid Services assigned the 1174558985 to Robert Lytton Hetland on 2006-07-11.
When was the information regarding Robert Lytton Hetland most recently updated?
The details pertaining to the Robert Lytton Hetland, including its address, specialty, and other relevant information, were last refreshed on 2016-06-22.