Shoji, Nancy Elaine

Shoji, Nancy Elaine is an sole proprietor health care provider with primary practice located at 4213 Dale Rd Suite A-2, Modesto CA 95356-8505. She recently has 2 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 / Optometrist is her primary health care specialty. Shoji, Nancy Elaine can be contacted via phone (209) 545-3937.

Contact Information

Primary practice address
4213 Dale Rd Suite A-2 Modesto CA 95356-8505
Fax: (209) 545-0204
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 7879T California
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 07879T California

Profile Details

NPI number 1538139464
LBN Legal business name Shoji, Nancy Elaine
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2006
Last updated Apr 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 1538139464 NPPES
California MEDICAID SD0078790

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