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Organization
PAULA SHADID, O.D.
Active
Organization
PAULA SHADID, O.D.
Active
Other names
Paula Shadid, O.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULA SHADID O.D. (OWNER)
(707) 584-1233
Entity
Organization
Contact information
Practice address
987 GOLF COURSE DR, ROHNERT PARK, CA 94928-1892
(707) 584-1233
(707) 584-1387
Mailing address
987 GOLF COURSE DR, ROHNERT PARK, CA 94928-1892
(707) 584-1233
(707) 584-1387
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8025T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ15487Z
MEDICARE GROUP PIN
CA
Enumeration date
11/28/2007
Last updated
03/04/2011
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