A & B Professional Optometry Corporation
Optometrist in Bakersfield, CA. Organization (NPI-2).
NPI number1174063465
StatusActive
Last updated in NPPESDec 20, 2023
Details
- NPI
- 1174063465
- Entity type
- Organization (NPI-2)
- Legal business name
- A & B Professional Optometry Corporation
- Organization subpart
- No
- Enumeration date
- Mar 6, 2017
- Certification date
- Dec 20, 2023
- Last updated
- Dec 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 15131TLG | CA | Yes |
| 152W00000X | Optometrist | 12978TPL | CA | |
| 152W00000X | Optometrist | 5732TPL | CA |
Other names
- Stockdale Optometry (Doing Business As)
Practice location
3869 Stockdale HwyBakersfield, CA 93309-2188
Phone 661-831-8952 · Fax 661-831-5042
Mailing address
3869 Stockdale HwyBakersfield, CA 93309-2188
Phone 661-831-8952 · Fax 661-831-5042
Authorized official
Michael Aoyama
Owner/Optometrist
6618318952
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