David Van Hartesvelt, Optician
Technician/Technologist, Optician in Sylmar, CA. Individual provider (NPI-1).
NPI number1265632152
StatusActive
Last updated in NPPESJul 19, 2007
Details
- NPI
- 1265632152
- Entity type
- Individual (NPI-1)
- Name
- Mr. David Van Hartesvelt
- Credential
- Optician
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2007
- Last updated
- Jul 19, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | SL4082 | CA | Yes |
| 156FC0801X | Technician/Technologist, Contact Lens Fitter | CL1190 | CA |
Practice location
12902 Foothill BlvdSuite H
Sylmar, CA 91342-4900
Phone 818-837-3818 · Fax 818-837-3820
Mailing address
12902 Foothill BlvdSuite H
Sylmar, CA 91342-4900
Phone 818-837-3818 · Fax 818-837-3820
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