Kageyama, David T
Kageyama, David T is an individual health care provider with primary practice located at 9401 E Stockton Blvd Ste 105, Elk Grove CA 95624. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kageyama, David T can be contacted via phone (916) 686-4937.Contact Information
Primary practice address
9401 E Stockton Blvd Ste 105
Elk Grove CA 95624
Phone: (916) 686-4937
Fax: (916) 686-4469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8255 | California |
Profile Details
| NPI number | 1871550574 |
|---|---|
| LBN Legal business name | Kageyama, David T |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Oct 29th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871550574 | NPPES |
| Other | GZ604Z | MEDICARE PTAN | |
| Other | 0433340001 | MEDICARE PTAN |
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