Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DAVID VAN HARTESVELT, OPTICIAN
ActiveOptician, Dispensing · SYLMAR, CA
Registration Details
- NPI Number
- 1265632152
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2007 (18.760943459537 yrs)
- Last Updated
- Jul 19, 2007
- Licenses
-
CL1190 (CA)SL4082 (CA)
Practice Information
- Address
-
12902 FOOTHILL BLVDSUITE HSYLMAR, CA, 913424900Browse CA providers · Browse ZIP 91342
- Phone
- 8188373818
- Fax
- 8188373820
- Primary Specialty
-
Optician, Dispensing
156FX1800X
- Additional Specialty
- Optician, Dispensing
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.