Okamoto, John M
Okamoto, John M is an individual health care provider with primary practice located at 9221 Sierra College Blvd Suite 130, Roseville CA 95661-5919. He recently has 5 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 / Low Vision Rehabilitation, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Okamoto, John M can be contacted via phone (916) 797-6747.Contact Information
Primary practice address
9221 Sierra College Blvd Suite 130
Roseville CA 95661-5919
Phone: (916) 797-6747
Fax: (916) 797-6728
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 9831T | California |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 9831T | California |
Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 9831 TPA | California |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | 9831T | California |
Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 9831T | California |
Profile Details
NPI number | 1760462956 |
---|---|
LBN Legal business name | Okamoto, John M |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 23rd, 2006 |
Last updated | May 21st, 2013 - about 11 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 | 1760462956 | NPPES |
California | MEDICAID | GSD005440 | |
California | Other | SD0098311 |
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