Ami P Shah
Optometrist in Elk Grove, CA. Organization (NPI-2).
NPI number1306116116
StatusActive
Last updated in NPPESJan 10, 2012
Details
- NPI
- 1306116116
- Entity type
- Organization (NPI-2)
- Legal business name
- Ami P Shah
- Organization subpart
- No
- Enumeration date
- Jan 10, 2012
- Last updated
- Jan 10, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 12341 | CA | Yes |
Other names
- Axis Eye Optometric Group (Doing Business As)
Practice location
7119 Elk Grove BlvdSte 123
Elk Grove, CA 95758-9568
Phone 916-478-2778 · Fax 916-478-2779
Mailing address
7119 Elk Grove BlvdSte 123
Elk Grove, CA 95758-9568
Phone 916-478-2778 · Fax 916-478-2779
Authorized official
Ami Patel Shah
Optometrist
9164782778
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