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Individual
DR. VINCENT PAUL PENZA
Active
Individual
DR. VINCENT PAUL PENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD OPTOMETRIST
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT8305TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2278849
FIRST HEALTH CCN
CA
01
—
4404683
AETNA
CA
01
—
SD0083050
BLUE SHIELD OF CA
CA
Enumeration date
09/28/2006
Last updated
05/02/2020
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