Shiroyama, Ona Mae Reiko

Shiroyama, Ona Mae Reiko is an individual health care provider with primary practice located at 1280 S Victoria Ave Suite 100, Ventura CA 93003-6555. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Shiroyama, Ona Mae Reiko can be contacted via phone (805) 650-9922.

Contact Information

Primary practice address
1280 S Victoria Ave Suite 100 Ventura CA 93003-6555
Phone: (805) 650-9922
Fax: (805) 650-6656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 6802T California

Profile Details

NPI number 1932142841
LBN Legal business name Shiroyama, Ona Mae Reiko
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jan 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932142841 NPPES
California MEDICAID SD0068020

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