Okada, Gregg Thomas

Okada, Gregg Thomas is an individual health care provider with primary practice located at 946 Manhattan Beach Blvd , Manhattan Beach CA 90266. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Okada, Gregg Thomas can be contacted via phone (310) 545-4585.

Contact Information

Primary practice address
946 Manhattan Beach Blvd Manhattan Beach CA 90266
Phone: (310) 545-4585
Fax: (310) 546-3240
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 8296T California

Profile Details

NPI number 1255309464
LBN Legal business name Okada, Gregg Thomas
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 8th, 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 1255309464 NPPES
California Other 8296T STATE BOARD OPTOMETRY
California Other M00657013 STATE BOARD OPTOMETRY

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