Doctor Name: | DR. DENNIS R BALES |
NPI Number: | 1477528099 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | 5812T |
Business Practice Address: | 2040 Viborg Rd Suite 240 Solvang, CA - 934632272 |
Business Phone Number: | 8056880707 |
Business Fax Number: | 8056939839 |
Mailing Address: | 2040 Viborg Rd, Suite 240 SOLVANG |
State: | CA |
Postal Code: | 934632272 |
Phone Number: | 8056880707 |
Fax Number: | 8056939839 |
NPI Enumeration Date: | 02/17/2006 |
NPI Last Update Date: | 09/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 5812T |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |