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Contact Information

KELLY KAGEYAMA, OD
344 E HAMILTON AVE
CAMPBELL, CA95008-0207
 Phone: 408-376-2700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for KELLY KAGEYAMA · (Male)

NPI # 1316376197
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/02/2013
Last updated 11/02/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 14490 TLG
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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