Dr. Stacey T. Gin, O.D.
Optometrist in Glendale, CA. Individual provider (NPI-1).
NPI number1619085149
StatusActive
Last updated in NPPESApr 10, 2008
Details
- NPI
- 1619085149
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stacey T. Gin
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 25, 2006
- Last updated
- Apr 10, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 13022 | CA | Yes |
Practice location
308 E BroadwayGlendale, CA 91205-1011
Phone 818-243-1300 · Fax 818-243-1583
Mailing address
308 E BroadwayGlendale, CA 91205-1011
Phone 818-243-1300 · Fax 818-243-1583
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All 91 Optometrist providers in Glendale · All 8,236 providers in Glendale
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