Omoto, Steven G.

Omoto, Steven G. is an sole proprietor health care provider with primary practice located at 7410 Greenhaven Dr Suite 140, Sacramento CA 95831-5158. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Omoto, Steven G. can be contacted via phone (916) 421-1278.

Contact Information

Primary practice address
7410 Greenhaven Dr Suite 140 Sacramento CA 95831-5158
Phone: (916) 421-1278
Fax: (916) 421-5055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OPT6310TPA California

Profile Details

NPI number 1710054853
LBN Legal business name Omoto, Steven G.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2006
Last updated Sep 16th, 2014 - about 10 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 1710054853 NPPES
California MEDICAID SD0063100

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