John L Corpus, OD
Optometrist in Sacramento, CA. Individual provider (NPI-1).
NPI number1902829336
StatusActive
Last updated in NPPESJan 3, 2022
Details
- NPI
- 1902829336
- Entity type
- Individual (NPI-1)
- Name
- John L Corpus
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2006
- Last updated
- Jan 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 13101 | CA | Yes |
Practice location
1689 Arden Way Ste 1091Sacramento, CA 95815-4096
Phone 916-929-5909 · Fax 916-929-8202
Mailing address
118 Aurora WayVacaville, CA 95688-2406
Phone 510-691-3902
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