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Contact Information

SAN LEANDRO OPTOMETRY GRP
1575 E. 14TH STREET
SAN LEANDRO, CA94577
 Phone: 510-483-4770
 Fax: 510-351-5008
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SAN LEANDRO OPTOMETRY GRP · (Female)

NPI # 1568689107
Status Active
Credentials
Entity Individual
Enumeration date 04/18/2007
Last updated 07/22/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 10781T
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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