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Organization
SACRAMENTO OPTOMETRIC GROUP, A PROFESSIONAL CORPORATION
Active
Organization
SACRAMENTO OPTOMETRIC GROUP, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER SAKAZAKI (OFFICE MANAGER)
(916) 443-3524
Entity
Organization
Contact information
Practice address
400 O ST STE 102, SACRAMENTO, CA 95814-5327
(916) 443-3524
(916) 443-3986
Mailing address
400 O ST STE 102, SACRAMENTO, CA 95814-5327
(916) 443-3524
(916) 443-3986
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356788731
UNITEDHEALTHCARE INSURANCE COMPANY
—
Enumeration date
05/26/2013
Last updated
04/10/2018
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