William Samuel Shields O.D.

NPI 1538165303 - Optometrist - 152W00000X

NPI Details
NPI 1538165303
Gender Male
Enumeration Date 06/24/2005
Last Updated 06/24/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
2812 COCHRAN ST
SIMI VALLEY CA, 93065-2780, US
Phone (805) 527-6164
Fax (805) 527-4391
Business Location
2812 COCHRAN ST
SIMI VALLEY CA, 93065-2780, US
Phone (805) 527-6164
Fax (805) 527-4391
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number MS0803836
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According to our database, Dr. William Samuel Shields O.D. NPI is 1538165303, taxonomy code is 152W00000X and license number is MS0803836, license state is located at California. William Samuel Shields O.D. physically located at 2812 Cochran St, Simi Valley CA, 93065-2780. NPI Number William Samuel Shields O.D. has the Individual type.

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1538165303 NPI number is provided on an as is basis without warranty of any kind. 1538165303 is maintained by the National Plan & Provider Enumeration System. The contents of William Samuel Shields O.D. are for informational purposes only.