Michael W Ottati, Jr., O.d. Inc

NPI 1164406302 - Optometrist - 152W00000X

NPI Details
NPI 1164406302
Enumeration Date 12/01/2005
Last Updated 03/04/2008
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name MICHAEL WILLIAM MICHAEL
Position PRESIDENT
Phone (925) 757-0450
Fax (925) 757-0266
Practice Location
3700 SUNSET LN
SUITE 4
ANTIOCH CA, 94509-6199, US
Phone (925) 757-0450
Fax (925) 757-0266
Business Location
3700 SUNSET LN
SUITE 4
ANTIOCH CA, 94509-6199, US
Phone (925) 757-0450
Fax (925) 757-0266
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 11082TLG
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According to our database, Michael W Ottati, Jr., O.d. Inc NPI is 1164406302, taxonomy code is 152W00000X and license number is 11082TLG, license state is located at California. Michael W Ottati, Jr., O.d. Inc physically located at 3700 Sunset Ln, Antioch CA, 94509-6199. NPI Number 1033115704 has the healthcare provider type.

1164406302 NPI number is provided on an as is basis without warranty of any kind. 1164406302 is maintained by the National Plan & Provider Enumeration System. The contents of Michael W Ottati, Jr., O.d. Inc are for informational purposes only.