Elk Grove Optometry A Professional Corporation

LBN: Elk Grove Optometry A Professional Corporation
Elk Grove Optometry A Professional Corporation is an health care organization with primary practice located at 9401 E Stockton Blvd Ste 105, Elk Grove CA 95624. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Elk Grove Optometry A Professional Corporation can be contacted via phone (916) 686-4937, or through Kageyama, David T via phone (916) 686-4937.

Contact Information

Primary practice address
9401 E Stockton Blvd Ste 105 Elk Grove CA 95624
Phone: (916) 686-4937
Fax: (916) 686-4469
Website:
Map and Directions
Authorized official contact:
Name: Kageyama, David T Doctor of Optometry (OD)
Phone: (916) 686-4937

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1306895545
LBN Legal business name Elk Grove Optometry A Professional Corporation
DBA Doing business as
Authorized official Kageyama, David T Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2006
Last updated Oct 29th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306895545 NPPES
California MEDICAID GDS00190

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