Oda, Gary Kazumi

Oda, Gary Kazumi is an sole proprietor health care provider with primary practice located at 200 Muir Rd , Martinez CA 94553-4614. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Oda, Gary Kazumi can be contacted via phone (925) 372-1902.

Contact Information

Primary practice address
200 Muir Rd Martinez CA 94553-4614
Fax: (925) 229-7550
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4752T California

Profile Details

NPI number 1518017185
LBN Legal business name Oda, Gary Kazumi
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2007
Last updated Jul 12th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518017185 NPPES
California Other X549533 KAISER NATIONAL ID #

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