Kameoka, Jiro
Kameoka, Jiro is an individual health care provider with primary practice located at 6310 S Us Highway 85-87 , Fountain CO 80817-1006. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Kameoka, Jiro can be contacted via phone (719) 390-8649.Contact Information
Primary practice address
6310 S Us Highway 85-87
Fountain CO 80817-1006
Phone: (719) 390-8649
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT-2215 | Colorado |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPT-2215 | Colorado |
Profile Details
| NPI number | 1699730440 |
|---|---|
| LBN Legal business name | Kameoka, Jiro |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Feb 25th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699730440 | NPPES |
| Colorado | MEDICAID | 24476323 |
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