Organization · NPI-2

Daniel P. Shepard

Ophthalmology, Retina Specialist · Santa Maria, CA

NPI number1700559481
StatusActive
Last updated in NPPESJul 28, 2021

Details

NPI
1700559481
Entity type
Organization (NPI-2)
Legal business name
Daniel P. Shepard
Organization subpart
No
Enumeration date
Jul 28, 2021
Certification date
Jul 28, 2021
Last updated
Jul 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207WX0107X Ophthalmology, Retina Specialist––Yes

Practice location

1418 E, Main Street
Suite 130
Santa Maria, CA 93454

Phone 608-614-7591 · Fax 805-614-7592

Mailing address

1418 E. Main Street
Suite 130
Santa Maria, CA 93454

Phone 608-614-7591 · Fax 805-614-7592

Authorized official

Daniel Paul Shepard
Owner/Director
8056147591

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