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Organization
NAPA VALLEY OPTOMETRIC GROUP
Active
Organization
NAPA VALLEY OPTOMETRIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL JOSEPH HERBERT OD (OWNER/PRESIDENT)
(707) 252-5380
Entity
Organization
Contact information
Practice address
1104 PEAR TREE LN, NAPA, CA 94558-6446
(707) 252-5380
(707) 252-5384
Mailing address
1104 PEAR TREE LN, NAPA, CA 94558-6446
(707) 252-5380
(707) 252-5384
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
COR 731
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD001210
—
CA
01
—
ZZZ54392Z
BLUESHIELD
CA
Enumeration date
07/08/2006
Last updated
01/17/2021
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