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Organization
MICHAEL B. HATASHITA O.D., AN OPTOMETRIC CORPORATION
Active
Organization
MICHAEL B. HATASHITA O.D., AN OPTOMETRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BRUCE HATASHITA O.D. (PRESIDENT)
(916) 725-2020
Entity
Organization
Contact information
Practice address
7900 ZENITH DR, CITRUS HEIGHTS, CA 95621-1075
(916) 725-2020
(916) 725-1750
Mailing address
PO BOX 7890, CITRUS HEIGHTS, CA 95621-7890
(916) 725-2020
(916) 725-1750
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6944
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0069440
—
CA
Enumeration date
01/24/2007
Last updated
08/22/2020
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