Okura, Darlene Taeko
Okura, Darlene Taeko is an sole proprietor health care provider with primary practice located at 3505 Sonoma Blvd Suite #30, Vallejo CA 94590-2920. She recently has 3 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 / Pediatrics. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Okura, Darlene Taeko can be contacted via phone (707) 643-1003.Contact Information
Primary practice address
3505 Sonoma Blvd Suite #30
Vallejo CA 94590-2920
Phone: (707) 643-1003
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9329T | California |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 9329T | California |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 9329T | California |
Profile Details
| NPI number | 1508997354 |
|---|---|
| LBN Legal business name | Okura, Darlene Taeko |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Oct 6th, 2011 - about 13 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 | 1508997354 | NPPES |
| California | MEDICAID | SD0093290 |
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