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Mr. David Van Hartesvelt, OPTICIAN
Optician in Sylmar, California
NPI 1265632152

David Van Hartesvelt is a Optician based in Sylmar, CA and is specialized in Optician. David Van Hartesvelt practices in Sylmar, CA and has the professional credentials of OPTICIAN. The NPI Number for David Van Hartesvelt is 1265632152 and holds a License No. CL1190 (California).

The current practice location address for David Van Hartesvelt is 12902 Foothill Blvd, Sylmar, CA and can be reached out via phone at 818-837-3818 and via fax at 818-837-3820.

Location: 12902 Foothill Blvd, Sylmar, CA, 91342-4900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265632152
Provider Name
David Van Hartesvelt
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
12902 Foothill Blvd, Sylmar, CA, 91342-4900
Phone Number
818-837-3818
Fax Number
818-837-3820
Provider Enumeration Date
07/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12902 Foothill Blvd
City
Sylmar
State
California
Zip
91342-4900
Phone Number
818-837-3818
Fax Number
818-837-3820
person
Provider Business Mailing Address Details
Address
12902 Foothill Blvd
City
Sylmar
State
California
Zip
91342-4900
Phone Number
818-837-3818
Fax Number
818-837-3820
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens Fitter
Taxonomy
156FC0801X
License No.
SL4082 (California)
Definition
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
CL1190 (California)
Definition
Definition to come...
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